Dr John P Detullio, MD, FCCP | |
901 W Main St, Suite 160, Cn 5050, Freehold, NJ 07728-2537 | |
(732) 577-0600 | |
(732) 577-6332 |
Full Name | Dr John P Detullio |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 43 Years |
Location | 901 W Main St, Freehold, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184738940 | NPI | - | NPPES |
03F88 | Other | NY | EMPIRE BCBS |
1431005 | Medicaid | NJ | |
110098315 | Other | NJ | MEDICARE RAILROAD |
41014 | Other | NJ | AETNA |
MS044 | Other | NJ | OXFORD |
4093697 | Other | NJ | AETNA |
223019073-002 | Other | NJ | QUALCARE |
F00797 | Other | NJ | HEALTH NET OF NJ |
223019073 | Other | NJ | TAX IDENTIFICATION NUMBER |
223019073-002 | Other | NJ | ST. BARNABAS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 25MA04345700 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centrastate Medical Center | Freehold, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Practice Associates Medical Group | 5890703177 | 1174 |
Entity Name | Monmouth Ocean Pulmonary Medicine, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598879041 PECOS PAC ID: 0648264440 Enrollment ID: O20040414000101 |
Entity Name | Practice Associates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
---|---|
Dr John P Detullio, MD, FCCP 901 W Main St, Suite 160, Cn 5050, Freehold, NJ 07728-2537 Ph: (732) 577-0600 | Dr John P Detullio, MD, FCCP 901 W Main St, Suite 160, Cn 5050, Freehold, NJ 07728-2537 Ph: (732) 577-0600 |
Dr. Kunal Gupta, M.D.,,M.B.A Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 222 Schanck Rd, Suite 302, Freehold, NJ 07728 Phone: 732-577-1999 Fax: 732-845-5356 | |
Dr. Ashish Awasthi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 901 W Main St Ste 205, Cn 5050, Freehold, NJ 07728 Phone: 732-866-0800 Fax: 732-866-0018 | |
Dr. Colin Christopher Brown, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 222 Schanck Rd, Suite 302, Freehold, NJ 07728 Phone: 732-577-1999 Fax: 732-845-5356 | |
Dr. Rudolph Harold Borgersen, Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 501 Stillwells Corner Rd, Freehold, NJ 07728 Phone: 732-780-3330 Fax: 732-780-4385 | |
Dr. Fiolakemi Sowemimo, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 901 W Main St, Suite 103, Freehold, NJ 07728 Phone: 732-252-6688 Fax: 732-761-9705 | |
Dr. Pinakin Chimanbhai Patel, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 12 Russell Rd, Freehold, NJ 07728 Phone: 732-577-7977 | |
Dr. Bhavesh Vasant Balar, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 326 Professional View Dr, Freehold, NJ 07728 Phone: 732-431-8400 Fax: 732-431-0114 |