Dr Jacqueline G Brunetto, MD | |
804 W Park Ave, Ocean, NJ 07712-7272 | |
(732) 531-0010 | |
(732) 493-0903 |
Full Name | Dr Jacqueline G Brunetto |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 804 W Park Ave, Ocean, 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 |
---|---|---|---|
1689645806 | NPI | - | NPPES |
7988907 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MAO6712100 (New Jersey) | Primary |
Entity Name | Monmouth Medical Center Faculty Practice Plan, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064441 PECOS PAC ID: 8527971563 Enrollment ID: O20031106000595 |
Entity Name | Mmc Provider Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932647872 PECOS PAC ID: 9133555626 Enrollment ID: O20200131000598 |
Entity Name | Rwjbh Primary Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265037501 PECOS PAC ID: 0749699346 Enrollment ID: O20210512000720 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacqueline G Brunetto, MD 804 W Park Ave, Ocean, NJ 07712-7272 Ph: (732) 531-0010 | Dr Jacqueline G Brunetto, MD 804 W Park Ave, Ocean, NJ 07712-7272 Ph: (732) 531-0010 |
Dr. Elias Sasson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 804 W Park Ave, Ocean, NJ 07712 Phone: 732-531-0010 Fax: 732-493-0903 | |
Fawaz Kashlan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Springhouse Rd, Ocean, NJ 07712 Phone: 732-922-4763 | |
Dr. Hayat Kashlan Hubbi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2801 Sunset Ave, Ocean, NJ 07712 Phone: 732-361-2821 | |
Dr. Martin Daniel Fried, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3200 Sunset Ave, Suite 100, Ocean, NJ 07712 Phone: 732-682-3425 Fax: 732-455-3309 | |
Dr. Thomas K O'brien, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 804 W Park Ave, Ocean, NJ 07712 Phone: 732-531-0010 Fax: 732-493-0903 | |
Dr. Alexander Jordan Schosheim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1300 Route 35 Unit 204, Ocean, NJ 07712 Phone: 732-923-6080 Fax: 732-923-6083 |