Kavita R Peshori, MD | |
44 E Jimmie Leeds Rd, Ste 101, Galloway, NJ 08205-9599 | |
(609) 677-9729 | |
Not Available |
Full Name | Kavita R Peshori |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 44 E Jimmie Leeds Rd, Galloway, 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 |
---|---|---|---|
1427296235 | NPI | - | NPPES |
P00983170 | Other | NJ | RR MEDICARE |
P00979663 | Other | NJ | RR MEDICARE |
0273449 | Medicaid | NJ | |
P00979668 | Other | NJ | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 25MA08988800 (New Jersey) | Primary |
Entity Name | Atlantic Medical Imaging |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20040826000336 |
Entity Name | Atlantic Radiologists Professional Association Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841438728 PECOS PAC ID: 3678621620 Enrollment ID: O20090430000174 |
Entity Name | Ami Atlanticare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20090915000606 |
Mailing Address | Practice Location Address |
---|---|
Kavita R Peshori, MD 72 W Jimmie Leeds Rd, Ste 1100, Galloway, NJ 08205-9406 Ph: (609) 677-9729 | Kavita R Peshori, MD 44 E Jimmie Leeds Rd, Ste 101, Galloway, NJ 08205-9599 Ph: (609) 677-9729 |
Richard Lawrence Olaughlin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 72 W Jimmie Leeds Rd, Ste.1100, Galloway, NJ 08205 Phone: 609-677-9729 | |
Dr. Amy F Austin, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 44 E Jimmie Leeds Rd, Ste 101, Galloway, NJ 08205 Phone: 609-677-9729 Fax: 609-652-6512 | |
Melissa J. Graule, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205 Phone: 609-677-9729 | |
Dr. Micah M Watts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205 Phone: 609-677-9729 | |
Robert Joseph Graziano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205 Phone: 609-677-9729 Fax: 609-652-6270 | |
Sunita Nankoo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205 Phone: 609-652-7349 |