Ethan Isidro, MD | |
256 Columbia Tpke Ste 209, Florham Park, NJ 07932-1238 | |
(201) 487-1240 | |
Not Available |
Full Name | Ethan Isidro |
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Gender | Male |
Speciality | Psychiatry |
Experience | 5 Years |
Location | 256 Columbia Tpke Ste 209, Florham Park, 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 |
---|---|---|---|
1295215150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA10566900 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Psychiatric Associates Llc | 8628163284 | 10 |
Entity Name | Advanced Psychiatric Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760673198 PECOS PAC ID: 8628163284 Enrollment ID: O20070927000853 |
Mailing Address | Practice Location Address |
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Ethan Isidro, MD 14 Coeyman Ave, Nutley, NJ 07110-1514 Ph: () - | Ethan Isidro, MD 256 Columbia Tpke Ste 209, Florham Park, NJ 07932-1238 Ph: (201) 487-1240 |
Dr. Alan L Gordon, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 222 Columbia Tpke, Florham Park, NJ 07932 Phone: 973-261-9075 | |
Elliot A Grossman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 205 Ridgedale Ave, Florham Park, NJ 07932 Phone: 973-966-6333 Fax: 973-301-0435 | |
Dr. Ritesha S Krishnappa, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30 Vreeland Rd Ste A304, Florham Park, NJ 07932 Phone: 201-614-4461 | |
Miss Brittney Starr Boykin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25a Vreeland Rd Ste 105, Florham Park, NJ 07932 Phone: 973-971-4635 Fax: 973-290-7614 | |
Andrew James Wilbur, M.D. (JUNE 2017) Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 256 Columbia Tpke Ste 209, Florham Park, NJ 07932 Phone: 201-487-1240 | |
Dr. Ernesto Ayque Amaranto, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 205 Ridgedale Ave, Florham Park, NJ 07932 Phone: 973-966-1130 Fax: 973-543-7664 |