Michele E Fantasia, MD | |
200 Somerset St, New Brunswick, NJ 08901-1942 | |
(732) 258-7000 | |
(908) 301-5456 |
Full Name | Michele E Fantasia |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine |
Location | 200 Somerset St, New Brunswick, 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 |
---|---|---|---|
1447226261 | NPI | - | NPPES |
221487148 | Other | NJ | DEVON HEALTHCARE |
01000313201 | Other | NJ | AMERICHOICE NJ |
1096732 | Other | NJ | HORIZON NJ HEALTH |
2119078000 | Other | NJ | AMERIHEALTH |
221487148 | Other | NJ | UNITED HEALTHCARE |
S51B01 | Other | NJ | EMPIRE |
0125682 | Other | NJ | CIGNA HEALTHCARE |
P2122543 | Other | NJ | OXFORD |
2K3684 | Other | NJ | HEALTHNET |
54027 | Other | NJ | AMERIGROUP |
221487148 | Other | NJ | MULTIPLAN |
2300074 | Other | NJ | AETNA HEALTHCARE |
24225 | Other | NJ | UNIVERSITY HEALTH PLAN |
221487148 | Other | NJ | GREAT WEST |
221487148 | Other | NJ | HORIZON BCBS NJ |
221487148-016 | Other | NJ | QUALCARE INC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | 25MA06336800 (New Jersey) | Primary |
Entity Name | Children's Specialized Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396886297 PECOS PAC ID: 4486733243 Enrollment ID: O20101216000181 |
Mailing Address | Practice Location Address |
---|---|
Michele E Fantasia, MD 150 New Providence Rd, Mountainside, NJ 07092-2590 Ph: (908) 301-5404 | Michele E Fantasia, MD 200 Somerset St, New Brunswick, NJ 08901-1942 Ph: (732) 258-7000 |
Sarita Cirelli, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-937-8623 | |
Dr. Katherine Saltstein Bentley, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 Somerset St, New Brunswick, NJ 08901 Phone: 732-258-7000 Fax: 908-389-5675 | |
Samuel Rey Egina, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-937-8623 |