Dr Leon Waller, MD | |
50 Pompton Ave, Verona, NJ 07044-2917 | |
(201) 896-0900 | |
(201) 896-2627 |
Full Name | Dr Leon Waller |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 50 Pompton Ave, Verona, 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 |
---|---|---|---|
1497847131 | NPI | - | NPPES |
514375 | Other | NJ | AETNA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MB340004 (New Jersey) | Primary |
Entity Name | State Of New Jersey Omb Centralized Payroll |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336221878 PECOS PAC ID: 6406742592 Enrollment ID: O20040420000292 |
Mailing Address | Practice Location Address |
---|---|
Dr Leon Waller, MD 59 Koch Ave, Morris Plains, NJ 07950-4400 Ph: (973) 538-1800 | Dr Leon Waller, MD 50 Pompton Ave, Verona, NJ 07044-2917 Ph: (201) 896-0900 |
Dr. Franciska K. Kashanian, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Roberts Ct, Verona, NJ 07044 Phone: 973-487-2231 Fax: 973-857-8167 | |
Dr. Sheree Starrett, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 62 Fairway Ave, Verona, NJ 07044 Phone: 973-857-0543 | |
Dr. Andrew Scott Boxer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 799 Bloomfield Ave Ste 111, Verona, NJ 07044 Phone: 973-433-7600 Fax: 973-433-7462 | |
Dr. Manish Vallabhdas Bhalodia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Bloomfield Ave, Ste Ll-1, Verona, NJ 07044 Phone: 973-233-4493 Fax: 833-484-1611 | |
Dr. Joan Of Arc Mariyampillai, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 825 Bloomfield Ave, Suite Ll-1, Verona, NJ 07044 Phone: 973-239-3770 Fax: 973-239-3774 | |
Dr. Oleg Shulik, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 799 Bloomfield Ave Ste 102, Verona, NJ 07044 Phone: 973-239-8373 Fax: 973-239-8403 | |
Dr. Roger Philip Diruggiero, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044 Phone: 973-239-2600 Fax: 833-495-1920 |