Dr Jennifer Tioseco, MD | |
65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240-9102 | |
(609) 404-3816 | |
(609) 404-3818 |
Full Name | Dr Jennifer Tioseco |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 65 W Jimmie Leeds Rd, Pomona, 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 |
---|---|---|---|
1306801667 | NPI | - | NPPES |
0075311 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MA74232 (New Jersey) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 25MA07423200 (New Jersey) | Primary |
Entity Name | Atlanticare Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Mailing Address | Practice Location Address |
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Dr Jennifer Tioseco, MD 100 E Penn Sq, 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9232 | Dr Jennifer Tioseco, MD 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240-9102 Ph: (609) 404-3816 |
Dr. Taral Divyakant Mehta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-748-5988 | |
Dr. Stephanie Anne Grayson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-652-1000 | |
Cynthia D. Villasis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-404-3816 | |
Dr. Mark F. Ditmar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-748-5988 | |
Benedict E Asiegbu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 302-651-4945 | |
Dr. Pietros Hadgu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-404-3818 |