Mark R Gershenbaum, DO | |
901 West Main St, Freehold, NJ 07728 | |
(732) 294-2666 | |
(732) 431-8267 |
Full Name | Mark R Gershenbaum |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 901 West Main St, Freehold, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982665782 | NPI | - | NPPES |
5453101 | Medicaid | NJ | |
P00153530 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB04672200 (New Jersey) | Primary |
208M00000X | Hospitalist | 25MB04672200 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centrastate Medical Center | Freehold, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Freehold Hospitalists, Llc | 4486754223 | 3 |
Entity Name | Freehold Hospitalists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831231463 PECOS PAC ID: 4486754223 Enrollment ID: O20070710000428 |
Mailing Address | Practice Location Address |
---|---|
Mark R Gershenbaum, DO Po Box 13700-1901, Philadelphia, PA 19191-1901 Ph: (800) 777-2455 | Mark R Gershenbaum, DO 901 West Main St, Freehold, NJ 07728 Ph: (732) 294-2666 |
Aya Marachi, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 901 W Main St, Freehold, NJ 07728 Phone: 856-686-4371 | |
Ryan Roshan Narain, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 597 Park Ave Ste B, Freehold, NJ 07728 Phone: 732-294-2540 Fax: 732-409-2621 | |
Ali Choudhry, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St, Freehold, NJ 07728 Phone: 732-294-2716 Fax: 732-431-2561 |