Martha C Kutko, MD | |
30 Prospect Ave, Hackensack, NJ 07601-1914 | |
(201) 996-2403 | |
Not Available |
Full Name | Martha C Kutko |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 30 Prospect Ave, 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 |
---|---|---|---|
1740251347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 25MA06419300 (New Jersey) | Secondary |
208000000X | Pediatrics | 210243 (New York) | 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 | Valley Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
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 |
Mailing Address | Practice Location Address |
---|---|
Martha C Kutko, MD 102 Hamilton Rd, Ridgewood, NJ 07450-1103 Ph: () - | Martha C Kutko, MD 30 Prospect Ave, Hackensack, NJ 07601-1914 Ph: (201) 996-2403 |
Jennifer Northridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2237 | |
Joy L Tun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5430 Fax: 551-996-4919 | |
Dr. Phillip I Ayeni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Dr. Malkhazi Mikadze, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics Dept, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Rose Ann Reyes Macalintal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Summit Ave, Hackensack, NJ 07601 Phone: 201-525-0077 | |
Gurpreet Phull, Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 908-251-3250 | |
Shoshana Sophie Rothman Tell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5329 |