Mark Kaminetzky, MD | |
30 Prospect Ave Radiology Dept, Hackensack, NJ 07601 | |
(551) 996-2200 | |
Not Available |
Full Name | Mark Kaminetzky |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 30 Prospect Ave Radiology Dept, Hackensack, 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 |
---|---|---|---|
1578094322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 299458 (New York) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 25MA11762500 (New Jersey) | Primary |
Entity Name | New Century Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710909262 PECOS PAC ID: 4082517370 Enrollment ID: O20041209000031 |
Entity Name | Hackensack Radiology Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306864343 PECOS PAC ID: 9830096361 Enrollment ID: O20060417000055 |
Entity Name | Imaging North, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245835131 PECOS PAC ID: 9133514987 Enrollment ID: O20220315001152 |
Mailing Address | Practice Location Address |
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Mark Kaminetzky, MD 130 Kinderkamack Rd Ste 200, River Edge, NJ 07661-1931 Ph: (201) 488-2660 | Mark Kaminetzky, MD 30 Prospect Ave Radiology Dept, Hackensack, NJ 07601 Ph: (551) 996-2200 |
Dr. Christopher I Song, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave Radiology Dept, Hackensack, NJ 07601 Phone: 551-996-2200 | |
Dr. George J Ferrone, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Radiology Dept, Hackensack, NJ 07601 Phone: 000-000-0000 | |
Dr. Jaskirat Singh Virk, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Radiology Dept, Hackensack, NJ 07601 Phone: 000-000-0000 | |
Dr. David John Monoky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Radiology Dept, Hackensack, NJ 07601 Phone: 000-000-0000 | |
Dr. Narmadan Akileswaran Kumarasamy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Radiology Dept, Hackensack, NJ 07601 Phone: 000-000-0000 | |
Jacquelyn N Copeland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave Radiology Dept, Hackensack, NJ 07601 Phone: 551-996-2200 | |
Oreoluwa Ojutiku, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 201-996-2200 Fax: 201-489-2812 |