Khashayar Vosough, MD | |
60 Pompton Ave, Lower Rear Plaza, Verona, NJ 07044-2946 | |
(973) 239-3900 | |
(973) 239-3915 |
Full Name | Khashayar Vosough |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 60 Pompton Ave, Verona, 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 |
---|---|---|---|
1487692299 | NPI | - | NPPES |
1790731271 | Other | NJ | GROUP NPI |
264795091 | Other | NJ | ADVANCED LAPAROSCOPY TAX ID |
18607 | Other | NJ | UNIVERSITY HEALTH PLANS |
300171467 | Other | NJ | COMPREHENSIVE WOMEN'S HEALTHCARE,LLC TAX ID |
24476 | Other | NJ | AMERIGROUP |
7444401 | Medicaid | NJ | |
P1265811 | Other | NJ | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 25MA06580400 (New Jersey) | Primary |
Entity Name | Barnabas Health Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Entity Name | New Beginnings Ob/gyn, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134473457 PECOS PAC ID: 8820242415 Enrollment ID: O20130207000088 |
Entity Name | Sbmc Provider Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942748983 PECOS PAC ID: 8729344569 Enrollment ID: O20171109003416 |
Entity Name | Cmmc Provider Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487192324 PECOS PAC ID: 4981939931 Enrollment ID: O20190712000485 |
Entity Name | Feminine Urgicare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598542938 PECOS PAC ID: 1052763232 Enrollment ID: O20240124000197 |
Mailing Address | Practice Location Address |
---|---|
Khashayar Vosough, MD 60 Pompton Ave Lowr Rear, Verona, NJ 07044-2946 Ph: (973) 239-3915 | Khashayar Vosough, MD 60 Pompton Ave, Lower Rear Plaza, Verona, NJ 07044-2946 Ph: (973) 239-3900 |