Kenneth Yan, MD, PHD | |
90 Bergen St Ste 8100, Newark, NJ 07103-2425 | |
(973) 972-4588 | |
Not Available |
Full Name | Kenneth Yan |
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Gender | Male |
Speciality | Otolaryngology |
Location | 90 Bergen St Ste 8100, Newark, 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 |
---|---|---|---|
1447607841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 125068441 (Illinois) | Secondary |
207Y00000X | Otolaryngology | 25MA11464200 (New Jersey) | Primary |
207Y00000X | Otolaryngology | A171225 (California) | Secondary |
Entity Name | University Physician Associates Of New Jersey Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639189236 PECOS PAC ID: 9830003417 Enrollment ID: O20040301000906 |
Mailing Address | Practice Location Address |
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Kenneth Yan, MD, PHD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Kenneth Yan, MD, PHD 90 Bergen St Ste 8100, Newark, NJ 07103-2425 Ph: (973) 972-4588 |
Dr. Evelyne Kalyoussef, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen Street, Suite8100, Newark, NJ 07103 Phone: 973-972-4588 | |
Christen Lennon Caloway, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St Ste 8100, Newark, NJ 07103 Phone: 973-972-2548 Fax: 973-972-8567 | |
Dr. Yu-lan Mary Ying, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen Street Suite 8100, Newark, NJ 07103 Phone: 973-972-4588 | |
Eric T Carniol, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Suite 8100, Newark, NJ 07103 Phone: 973-972-2548 | |
Dr. Jean Anderson Eloy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Suite 8100, Newark, NJ 07103 Phone: 973-972-4588 Fax: 973-972-3767 | |
Soly Baredes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Doc-7200, Newark, NJ 07103 Phone: 973-972-2400 Fax: 973-972-2988 | |
Andrey Filimonov, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 90 Bergen St Ste 8100, Newark, NJ 07103 Phone: 973-972-2548 |