Eduard Kagan, MD | |
1324 Motor Pkwy, Islandia, NY 11749-5262 | |
(631) 963-7700 | |
(631) 232-0147 |
Full Name | Eduard Kagan |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 1324 Motor Pkwy, Islandia, 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 |
---|---|---|---|
1679511257 | NPI | - | NPPES |
02959942 | Medicaid | NY | |
0049603 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 25MA078049 (New Jersey) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 247168 (New York) | Primary |
Entity Name | New Jersey Urology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588822423 PECOS PAC ID: 1456410638 Enrollment ID: O20081103000206 |
Mailing Address | Practice Location Address |
---|---|
Eduard Kagan, MD 1 Hollow Lane, Suite 206, Lake Success, NY 11042 Ph: (516) 931-0041 | Eduard Kagan, MD 1324 Motor Pkwy, Islandia, NY 11749-5262 Ph: (631) 963-7700 |
Andrew Douglas Pearlman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1324 Motor Pkwy, Islandia, NY 11749 Phone: 631-963-7700 | |
Dr. Jigna Desai Jhaveri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1324 Motor Pkwy, Islandia, NY 11749 Phone: 631-963-7700 Fax: 631-232-0147 |