Dr Phillip I Ayeni, MD | |
30 Prospect Ave, Pediatrics, Hackensack, NJ 07601-1914 | |
(201) 996-2000 | |
Not Available |
Full Name | Dr Phillip I Ayeni |
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Gender | Male |
Speciality | Pediatrics |
Location | 30 Prospect Ave, Hackensack, 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 |
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1023050366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 25MA06177800 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Mailing Address | Practice Location Address |
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Dr Phillip I Ayeni, MD 75 Clifton Ave, Clifton, NJ 07011-1421 Ph: () - | Dr Phillip I Ayeni, MD 30 Prospect Ave, Pediatrics, Hackensack, NJ 07601-1914 Ph: (201) 996-2000 |
Jennifer Northridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2237 | |
Joy L Tun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5430 Fax: 551-996-4919 | |
Dr. Malkhazi Mikadze, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics Dept, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Rose Ann Reyes Macalintal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Summit Ave, Hackensack, NJ 07601 Phone: 201-525-0077 | |
Gurpreet Phull, Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 908-251-3250 | |
Shoshana Sophie Rothman Tell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5329 |