Michael Song, MD | |
500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446-1177 | |
(201) 962-7282 | |
(201) 962-7283 |
Full Name | Michael Song |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 500 N Franklin Tpke, Ramsey, 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 |
---|---|---|---|
1104925080 | NPI | - | NPPES |
01664740 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA06850400 (New Jersey) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | 25MA06850400 (New Jersey) | Secondary |
Entity Name | Quiescence Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942671805 PECOS PAC ID: 2567750359 Enrollment ID: O20161011001486 |
Entity Name | Vision Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134740319 PECOS PAC ID: 0648691592 Enrollment ID: O20200601001043 |
Entity Name | Overwatch Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528616810 PECOS PAC ID: 3678949146 Enrollment ID: O20230404001489 |
Mailing Address | Practice Location Address |
---|---|
Michael Song, MD 255 W Michigan Ave, P. O. Box 1123, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Michael Song, MD 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446-1177 Ph: (201) 962-7282 |
Robert P Gordon, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446 Phone: 201-962-7282 | |
Igor Melyokhin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446 Phone: 201-962-7282 | |
John Pillitteri, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446 Phone: 201-962-7282 | |
Monte Goldstein, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446 Phone: 201-962-7282 |