Dr Shrenik G Shah, MD | |
55 W Passaic Ave, Bloomfield, NJ 07003-4502 | |
(973) 338-8059 | |
(973) 338-6013 |
Full Name | Dr Shrenik G Shah |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 55 W Passaic Ave, Bloomfield, 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 |
---|---|---|---|
1053352732 | NPI | - | NPPES |
463751473 | Other | NJ | TAX ID |
4699106 | Medicaid | NJ | |
318777 | Other | NJ | 1922435585 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA 44420 (New Jersey) | Primary |
Entity Name | Union County Health Care Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033271291 PECOS PAC ID: 2163450958 Enrollment ID: O20050802001062 |
Mailing Address | Practice Location Address |
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Dr Shrenik G Shah, MD 55 W Passaic Ave, Bloomfield, NJ 07003-4502 Ph: (973) 338-8059 | Dr Shrenik G Shah, MD 55 W Passaic Ave, Bloomfield, NJ 07003-4502 Ph: (973) 338-8059 |
Dr. Louis J. Petracca, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 332 Bloomfield Ave, Bloomfield, NJ 07003 Phone: 973-429-9225 Fax: 973-566-0973 | |
Dr. Richard Leon Podkul, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1064 Broad St, Bloomfield, NJ 07003 Phone: 973-893-0282 Fax: 973-893-0612 | |
Dr. Marco Tartaglia, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 20 Watsessing Ave, Bloomfield, NJ 07003 Phone: 973-364-0888 Fax: 973-364-0889 | |
Chelsea Marie Covino, PA-C Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 Glenwood Ave, Bloomfield, NJ 07003 Phone: 973-929-7600 | |
Dr. Catalino Lozano Delacruz Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003 Phone: 973-743-2248 Fax: 973-743-0688 | |
John Kelly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W Passaic Ave, Bloomfield, NJ 07003 Phone: 973-338-1900 Fax: 973-761-0112 |