Dr Mario Anibal Mancheno, MD | |
422 Grand Street, Hoboken, NJ 07030 | |
(201) 656-8743 | |
(201) 319-0867 |
Full Name | Dr Mario Anibal Mancheno |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 422 Grand Street, Hoboken, 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 |
---|---|---|---|
1417041013 | NPI | - | NPPES |
3939707 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25MA03336800 (New Jersey) | Primary |
Entity Name | G&s Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982982336 PECOS PAC ID: 0244404697 Enrollment ID: O20111121000313 |
Mailing Address | Practice Location Address |
---|---|
Dr Mario Anibal Mancheno, MD 422 Grand Street, Hoboken, NJ 07030 Ph: (201) 656-8743 | Dr Mario Anibal Mancheno, MD 422 Grand Street, Hoboken, NJ 07030 Ph: (201) 656-8743 |
Dr. Joseph S Raccuia, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 228 Park Ave, Hoboken, NJ 07030 Phone: 917-349-0537 Fax: 646-952-7741 | |
Dr. Dean Richard Cerio, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 79 Hudson St, Suite 700, Hoboken, NJ 07030 Phone: 201-449-1000 Fax: 201-399-2433 | |
Shannan Rae Ferrari, PA-C Surgery Medicare: Not Enrolled in Medicare Practice Location: 1025 Maxwell Ln, Hoboken, NJ 07030 Phone: 551-239-1770 | |
Elizabeth Verduzco, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 14th St, Hoboken, NJ 07030 Phone: 201-795-8596 |