Dr John Fernandes, | |
3959 Broadway, Columbia University Departmt .pediatric, New York, NY 10032-1559 | |
(212) 304-7250 | |
(212) 544-1974 |
Full Name | Dr John Fernandes |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 3959 Broadway, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073589883 | NPI | - | NPPES |
01851101 | Medicaid | NY | |
002673 | Other | NJ | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 175252 (New York) | Primary |
Entity Name | John Fernandes M.d Facc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427197870 PECOS PAC ID: 7810029626 Enrollment ID: O20100714000554 |
Mailing Address | Practice Location Address |
---|---|
Dr John Fernandes, 9 Koewing Pl, West Orange, NY 10032 Ph: (212) 304-7250 | Dr John Fernandes, 3959 Broadway, Columbia University Departmt .pediatric, New York, NY 10032-1559 Ph: (212) 304-7250 |
Dr. Robert Michael Lembo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave, New York, NY 10016 Phone: 212-263-6425 | |
Dr. Sean Michael Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 1st Ave, Suite 7a, New York, NY 10016 Phone: 212-263-7477 | |
Dr. Diana Trevas Fleisher, Pediatrics Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293 Fax: 212-263-3522 | |
Dr. Rajdeep K Saini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Warren St, New York, NY 10007 Phone: 212-226-7666 Fax: 212-202-7988 | |
Dr. Nooralam Ahmad Rai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3959 Broadway # Chc701, New York, NY 10032 Phone: 212-305-5122 Fax: 212-305-6103 | |
Deborah Valentine Shamsian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 21 W 86th St, New York, NY 10024 Phone: 212-304-5800 | |
Kara Alex-ann Beliard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1468 Madison Ave, New York, NY 10029 Phone: 122-241-6936 |