Dr Jacqueline A Owens, MD | |
395 Pleasant Valley Way, The Pediatric Group Of West Orange, West Orange, NJ 07052-2998 | |
(973) 731-6100 | |
(973) 731-0612 |
Full Name | Dr Jacqueline A Owens |
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Gender | Female |
Speciality | Pediatrics |
Location | 395 Pleasant Valley Way, West Orange, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811007750 | NPI | - | NPPES |
6936806 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MA057429 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Mailing Address | Practice Location Address |
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Dr Jacqueline A Owens, MD 395 Pleasant Valley Way, The Pediatric Group Of West Orange, West Orange, NJ 07052-2998 Ph: (973) 731-6100 | Dr Jacqueline A Owens, MD 395 Pleasant Valley Way, The Pediatric Group Of West Orange, West Orange, NJ 07052-2998 Ph: (973) 731-6100 |
Dr. Erik Dienna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 745 Northfield Ave Ste 7, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 855-274-7153 | |
Dr. Seth Ness, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Marcy Pl, West Orange, NJ 07052 Phone: 973-669-9764 | |
Dr. Svetlana Lantsman Sabel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave Ste 105, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Dr. Susan Sonhe Yoo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 | |
Dr. Constantinos Kintiroglou, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 973-243-1227 | |
Marianne Jacob, Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Valentyna Tack, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 |