Dr Tanasha Simela, DO | |
1065 Southern Boulevard, Medical Affairs, Bronx, NY 10459 | |
(718) 589-2440 | |
(718) 991-4516 |
Full Name | Dr Tanasha Simela |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 1065 Southern Boulevard, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538321997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 25MB10158200 (New Jersey) | Secondary |
207N00000X | Dermatology | 290569 (New York) | Primary |
Entity Name | The Dermatology Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962428474 PECOS PAC ID: 7911971510 Enrollment ID: O20040820000169 |
Mailing Address | Practice Location Address |
---|---|
Dr Tanasha Simela, DO 725 River Rd Ste 32-114, Edgewater, NJ 07020-1171 Ph: (844) 433-7636 | Dr Tanasha Simela, DO 1065 Southern Boulevard, Medical Affairs, Bronx, NY 10459 Ph: (718) 589-2440 |
Dr. Ali Nicole Dana, MD,PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 130 W Kingsbridge Rd, Bronx, NY 10468 Phone: 718-584-9000 | |
Dr. Mina Daoud Aziz, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3411 Wayne Ave, Bronx, NY 10467 Phone: 718-920-2680 | |
Carson Thomas Kirkpatrick, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3514 Bainbridge Ave, Bronx, NY 10467 Phone: 866-633-8255 | |
Dr. Shira Wieder, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3333 Henry Hudson Pkwy Apt 1b, Bronx, NY 10463 Phone: 718-543-0900 | |
Dr. Richard W Green, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2100 Bartow Ave, Suite 211, Bronx, NY 10475 Phone: 718-671-1000 Fax: 212-765-3210 | |
Dr. Caroline Patricia Halverstam, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1250 Waters Pl, Tower 2, 6th Floor, Bronx, NY 10461 Phone: 866-633-8255 | |
Eugene J Whang, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3620 E Tremont Ave, 2nd Floor, Bronx, NY 10465 Phone: 718-792-4700 Fax: 718-828-1898 |