Jonathan E Teitelbaum, MD | |
279 3rd Ave, Suite 101, Long Branch, NJ 07740-6211 | |
(732) 923-6080 | |
(732) 923-6083 |
Full Name | Jonathan E Teitelbaum |
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Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 279 3rd Ave, Long Branch, 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 |
---|---|---|---|
1831154475 | NPI | - | NPPES |
7927401 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 25MA06903300 (New Jersey) | Primary |
Entity Name | Barnabas Health Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Mailing Address | Practice Location Address |
---|---|
Jonathan E Teitelbaum, MD Po Box 8000, Dept 596, Buffalo, NY 14267-0002 Ph: (866) 295-0041 | Jonathan E Teitelbaum, MD 279 3rd Ave, Suite 101, Long Branch, NJ 07740-6211 Ph: (732) 923-6080 |
Dr. Kirby Douglas Rekedal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-6860 | |
Amit C Misra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Second Avenue, Long Branch, NJ 07740 Phone: 732-923-8600 | |
Dr. Richard J Degroote Ii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-7100 Fax: 732-923-7104 | |
Tina Susanne Rakitt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 279 3rd Ave, Suite 101, Long Branch, NJ 07740 Phone: 732-923-6080 Fax: 732-923-6083 | |
Imtiaz Ahmed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 610-400-5782 | |
Dr. Danielle Denise Amona, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-222-5200 | |
Dr. Thomas Habib, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 255 3rd Ave, Long Branch, NJ 07740 Phone: 732-222-7006 |