Dr Johanna R Kaufman, MD | |
890 Mountain Ave, New Providence, NJ 07974-1218 | |
(908) 277-8601 | |
(908) 277-8706 |
Full Name | Dr Johanna R Kaufman |
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Gender | Female |
Speciality | Pediatrics |
Location | 890 Mountain Ave, New Providence, 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 |
---|---|---|---|
1053775205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0087140 (Maryland) | Secondary |
208000000X | Pediatrics | 25MA11189400 (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 Johanna R Kaufman, MD 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: () - | Dr Johanna R Kaufman, MD 890 Mountain Ave, New Providence, NJ 07974-1218 Ph: (908) 277-8601 |
Mr. Steven Moskowitz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 556 Central Ave, New Providence, NJ 07974 Phone: 908-508-0400 Fax: 908-508-0370 | |
Dr. Lorraine Raagas Formanes, DNP, APN, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 556 Central Ave, New Providence, NJ 07974 Phone: 908-508-0400 | |
Adrianna Marie Spinelli, APN Pediatrics Medicare: Medicare Enrolled Practice Location: 180 South St, New Providence, NJ 07974 Phone: 908-673-7505 Fax: 908-464-4159 | |
Marla Guzman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 890 Mountain Ave, New Providence, NJ 07974 Phone: 908-739-3235 | |
Dr. Kathleen M Cuddihy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 180 South St, New Providence, NJ 07974 Phone: 908-771-9824 Fax: 908-771-9674 | |
Ms. Kathleen Laura Chin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 556 Central Ave, New Providence, NJ 07974 Phone: 908-508-0400 Fax: 908-508-0197 |