Dr Mitchell Jerold Heller, MD | |
1 Bay Ave, Montclair, NJ 07042-4837 | |
(973) 429-6000 | |
Not Available |
Full Name | Dr Mitchell Jerold Heller |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Bay Ave, Montclair, 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 |
---|---|---|---|
1275504052 | NPI | - | NPPES |
1872733 | Medicaid | NY | |
7375808 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 197042 (New York) | Secondary |
207P00000X | Emergency Medicine | 25MA06586300 (New Jersey) | Primary |
Entity Name | Middlesex Emergency Physicians, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811921760 PECOS PAC ID: 9931002854 Enrollment ID: O20040129000034 |
Entity Name | Plainfield Emergency Physicians, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309680 PECOS PAC ID: 7719972728 Enrollment ID: O20040419001065 |
Entity Name | Rwjbh Observation Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
Entity Name | Rwjbh Emergency Medicine Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912510041 PECOS PAC ID: 0941612840 Enrollment ID: O20201217002547 |
Mailing Address | Practice Location Address |
---|---|
Dr Mitchell Jerold Heller, MD 74 Oakwood Ave, Montclair, NJ 07043-1917 Ph: (973) 233-9143 | Dr Mitchell Jerold Heller, MD 1 Bay Ave, Montclair, NJ 07042-4837 Ph: (973) 429-6000 |
Erik Sherman, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Dr. Augustine Yao Alifo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Dr. Larry Carter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Dr. Radha Kotamraju, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6991 | |
Viktor Livshits, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Dr. Lani Mendelson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 561-213-5084 |