Dr Kevin Joseph Mcdonough, MD | |
511 22nd St, Union City, NJ 07087-3500 | |
(201) 866-7740 | |
(201) 866-6610 |
Full Name | Dr Kevin Joseph Mcdonough |
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Gender | Male |
Speciality | Pediatrics |
Location | 511 22nd St, Union City, 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 |
---|---|---|---|
1518073337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MA68887 (New Jersey) | Secondary |
208000000X | Pediatrics | 203759 (New York) | Primary |
Entity Name | Amboy Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024 |
Mailing Address | Practice Location Address |
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Dr Kevin Joseph Mcdonough, MD 316 Neal Dow Ave, Staten Island, NY 10314-3128 Ph: (718) 442-9671 | Dr Kevin Joseph Mcdonough, MD 511 22nd St, Union City, NJ 07087-3500 Ph: (201) 866-7740 |
Dr. Kari Jane Teraguchi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4110 Kennedy Blvd, Union City, NJ 07087 Phone: 201-319-9800 Fax: 201-319-9849 | |
Dr. Jose R Fragoso, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4808 Bergenline Ave, 5th Floor, Union City, NJ 07087 Phone: 201-865-3444 Fax: 201-865-0038 | |
Wilson Eduardo Delgado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4201 New York Ave, Union City, NJ 07087 Phone: 201-601-9515 Fax: 201-601-9516 | |
Jovanna Cohen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4110 Kennedy Blvd, Union City, NJ 07087 Phone: 201-319-9800 | |
Dr. Noha Polack, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3196 Kennedy Blvd, Third Floor, Union City, NJ 07087 Phone: 201-319-9800 Fax: 201-319-9849 | |
Dr. Fernando Suarez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3196 Kennedy Blvd, Union City, NJ 07087 Phone: 833-617-0500 |