Dr Jerrold J Ellner, MD | |
140 Bergen St # D, Newark, NJ 07103 | |
(973) 972-4071 | |
(973) 972-3102 |
Full Name | Dr Jerrold J Ellner |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 140 Bergen St # D, Newark, 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 |
---|---|---|---|
1174736797 | NPI | - | NPPES |
110086419A | Medicaid | MA | |
8201200 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 242471 (Massachusetts) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 242471 (Massachusetts) | Primary |
Entity Name | University Physician Associates Of New Jersey Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760492367 PECOS PAC ID: 9830003417 Enrollment ID: O20031118000289 |
Mailing Address | Practice Location Address |
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Dr Jerrold J Ellner, MD 30 Bergen St Rm 1205, Newark, NJ 07107-3000 Ph: () - | Dr Jerrold J Ellner, MD 140 Bergen St # D, Newark, NJ 07103 Ph: (973) 972-4071 |
Dr. Xiaoning Joanie Zhu, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 741 Broadway, Newark, NJ 07104 Phone: 973-481-1300 | |
Lissette Maria Cespedes, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 185 S Orange Ave, Msb I588, Newark, NJ 07103 Phone: 973-972-3479 | |
Dr. Pankaja Achar, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 194 Clinton Ave Fl 2, Newark, NJ 07108 Phone: 973-273-1515 Fax: 973-230-0883 | |
Marc H. Lavietes, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 90 Bergen St, Doc 4500, Newark, NJ 07103 Phone: 973-972-2500 Fax: 973-972-2510 | |
Dr. Hoi-wing Susanna Yim, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5000 | |
Michelle Evans-pontrelli, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 516-491-1202 | |
Tharakeswari Selvakumar, MD, PHD Infectious Disease Medicare: Medicare Enrolled Practice Location: 150 Bergen St # Uhi-248, Newark, NJ 07103 Phone: 973-972-6056 |