Ernest Defazio, MD | |
181 Franklin Ave, Nutley, NJ 07110-3820 | |
(973) 667-6660 | |
(973) 667-2134 |
Full Name | Ernest Defazio |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 49 Years |
Location | 181 Franklin Ave, Nutley, 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 |
---|---|---|---|
1477511707 | NPI | - | NPPES |
0829005 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA03416900 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Clara Maass Medical Center | Belleville, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Internet Medical Group P C | 2466357058 | 3 |
Entity Name | Internet Medical Group P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720044555 PECOS PAC ID: 2466357058 Enrollment ID: O20031205000536 |
Mailing Address | Practice Location Address |
---|---|
Ernest Defazio, MD 66 Somme St, Newark, NJ 07105-3612 Ph: (973) 522-0006 | Ernest Defazio, MD 181 Franklin Ave, Nutley, NJ 07110-3820 Ph: (973) 667-6660 |
Robert W Richardson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-4568 Fax: 973-667-5989 | |
Dr. Jacob Zeffren, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 Kingsland St, Nutley, NJ 07110 Phone: 973-562-3548 Fax: 973-562-3563 | |
Louis Citarelli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 Franklin Ave, Suite 304, Nutley, NJ 07110 Phone: 973-667-6660 Fax: 973-667-2134 | |
Marina A Alexandrova Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 460 Franklin Ave, Suite A2, Nutley, NJ 07110 Phone: 973-667-8640 Fax: 973-667-0401 | |
James V Agresti Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 181 Franklin Ave, #201, Nutley, NJ 07110 Phone: 973-284-0777 Fax: 973-284-1530 | |
Paul Vincent Dell'aquila, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 339 Passaic Ave, Nutley, NJ 07110 Phone: 973-542-2880 Fax: 973-542-2881 | |
Dr. Alexandre M Shehata, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 622 Franklin Ave, Nutley, NJ 07110 Phone: 973-661-1900 Fax: 973-661-3658 |