| Khashayar Vosough, MD | |
|
193 Mountain Ave, Springfield, NJ 07081-1755 | |
| (973) 218-1579 | |
| (973) 218-1589 |
| Full Name | Khashayar Vosough |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 193 Mountain Ave, Springfield, 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 |
| 24476 | Other | NJ | AMERIGROUP |
| 18607 | Other | NJ | UNIVERSITY HEALTH PLANS |
| 7444401 | Medicaid | NJ | |
| 264795091 | Other | NJ | ADVANCED LAPAROSCOPY TAX ID |
| 300171467 | Other | NJ | COMPREHENSIVE WOMEN'S HEALTHCARE,LLC TAX ID |
| P1265811 | Other | NJ | OXFORD |
| 1790731271 | Other | NJ | GROUP NPI |
| 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 | Northeast Women Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508643933 PECOS PAC ID: 1759724560 Enrollment ID: O20240208002909 |
| Mailing Address | Practice Location Address |
|---|---|
| Khashayar Vosough, MD 193 Mountain Ave, Springfield, NJ 07081-1755 Ph: (973) 218-1579 | Khashayar Vosough, MD 193 Mountain Ave, Springfield, NJ 07081-1755 Ph: (973) 218-1579 |
Dr. Robyn Noelle D'agostino, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 100 Stone Hill Rd Apt E04, Springfield, NJ 07081 Phone: 908-420-0137 | |
Takiyah Mitchell, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 193 Mountain Ave, Springfield, NJ 07081 Phone: 973-218-1579 | |
Dr. Joshua Surla Santos, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 193 Mountain Ave, Springfield, NJ 07081 Phone: 973-218-1579 | |
Carl Lance De Fronzo, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 216 Short Hills Ave, Springfield, NJ 07081 Phone: 973-376-7838 Fax: 973-912-4367 | |
Olga Byalik, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 90 Route 22, Springfield, NJ 07081 Phone: 734-672-2739 Fax: 973-467-5385 | |
Dr. Jose J. Pinto, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 55 Morris Ave, Suite 204, Springfield, NJ 07081 Phone: 973-218-1579 |