Dr Pratik A Shukla, MD | |
150 Bergen St # Streetc, Newark, NJ 07103 | |
(973) 972-5188 | |
Not Available |
Full Name | Dr Pratik A Shukla |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 12 Years |
Location | 150 Bergen St # Streetc, Newark, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457614141 | NPI | - | NPPES |
0640930 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT202262 (Pennsylvania) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 25MA10336900 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Hospital | Newark, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Physician Associates Of New Jersey Inc | 9830003417 | 241 |
Entity Name | University Physician Associates Of New Jersey Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316957913 PECOS PAC ID: 9830003417 Enrollment ID: O20041117000179 |
Mailing Address | Practice Location Address |
---|---|
Dr Pratik A Shukla, MD 30 Bergen Street, Building 12 Room 1205, Newark, NJ 07107-3000 Ph: () - | Dr Pratik A Shukla, MD 150 Bergen St # Streetc, Newark, NJ 07103 Ph: (973) 972-5188 |
Dr. Keith Michael Spellman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7960 | |
Michael Warhit, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7960 | |
Kris Arun Nathan, DO Radiology Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Dr. Omar Jamil, MD Radiology Medicare: Medicare Enrolled Practice Location: 185 S Orange Ave, Department Of Surgery, Medical Science Building, G-506, Newark, NJ 07103 Phone: 973-972-6639 | |
Dr. Candido P Quinones, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5287 | |
John Yoon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave Dept Of, Newark, NJ 07112 Phone: 732-763-0437 | |
Debra J. Green, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 30 Bergen St, Admc 12 1205, Newark, NJ 07107 Phone: 973-972-0037 Fax: 973-972-9355 |