Neil Harold Poulsen, | |
333 Mount Hope Ave Ste 260, Rockaway, NJ 07866-1657 | |
(973) 895-6605 | |
(973) 895-5338 |
Full Name | Neil Harold Poulsen |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 10 Years |
Location | 333 Mount Hope Ave Ste 260, Rockaway, 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 |
---|---|---|---|
1841610821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 25MA11141900 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Clara Maass Medical Center | Belleville, NJ | Hospital |
Morristown Medical Center | Morristown, NJ | Hospital |
Saint Barnabas Medical Center | Livingston, NJ | Hospital |
Overlook Medical Center | Summit, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ccg Medical Group Llc | 0648640680 | 21 |
Entity Name | Cardiovascular Care Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831262997 PECOS PAC ID: 7618953779 Enrollment ID: O20040629000031 |
Entity Name | Practice Associates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Entity Name | Ccg Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245954254 PECOS PAC ID: 0648640680 Enrollment ID: O20230106002797 |
Mailing Address | Practice Location Address |
---|---|
Neil Harold Poulsen, Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Neil Harold Poulsen, 333 Mount Hope Ave Ste 260, Rockaway, NJ 07866-1657 Ph: (973) 895-6605 |
Kunal Vani, Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 Mount Hope Ave Ste 260, Rockaway, NJ 07866 Phone: 973-895-6605 Fax: 973-895-5338 |