Dr Sheryl Lisa Vassallo, MD | |
150 New Providence Rd, Mountainside, NJ 07092-2590 | |
(908) 233-3720 | |
(908) 301-5430 |
Full Name | Dr Sheryl Lisa Vassallo |
---|---|
Gender | Female |
Speciality | Pediatrics - Hospice And Palliative Medicine |
Location | 150 New Providence Rd, Mountainside, 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 |
---|---|---|---|
1225281470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA08431000 (New Jersey) | Secondary |
2080H0002X | Pediatrics - Hospice And Palliative Medicine | 25MA08431000 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Entity Name | Children's Specialized Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396886297 PECOS PAC ID: 4486733243 Enrollment ID: O20101216000181 |
Mailing Address | Practice Location Address |
---|---|
Dr Sheryl Lisa Vassallo, MD Po Box 416457, Boston, MA 02241-1735 Ph: (844) 362-1735 | Dr Sheryl Lisa Vassallo, MD 150 New Providence Rd, Mountainside, NJ 07092-2590 Ph: (908) 233-3720 |
Rose Mary Merola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-389-5661 Fax: 908-301-5456 | |
Moshe Kupferstein, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 888-244-5373 | |
Dr. Nita Vaswani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 150 New Providence Rd, Children's Specialized Hospital, Mountainside, NJ 07092 Phone: 888-244-5373 | |
Adam Aronsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 Fax: 908-301-5456 | |
Krishan Yalamanchi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-301-5505 | |
Ave O Gozo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 Fax: 908-301-5456 |