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 | 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 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 |
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 |