Nikolay Bogush, | |
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | |
(410) 328-6110 | |
Not Available |
Full Name | Nikolay Bogush |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1200 E Ridgewood Ave, Ridgewood, 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 |
---|---|---|---|
1396164893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 25MA11396900 (New Jersey) | Primary |
Entity Name | Valley Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
Mailing Address | Practice Location Address |
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Nikolay Bogush, 1200 E Ridgewood Ave Ste 309, Ridgewood, NJ 07450-3937 Ph: (201) 689-9400 | Nikolay Bogush, 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 Ph: (410) 328-6110 |
Dr. John Franklyn Riefler Iii, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 423 Colwell Ct, Ridgewood, NJ 07450 Phone: 201-652-3405 | |
Deborah E Rudin, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 141 Dayton St, Ridgewood, NJ 07450 Phone: 201-447-6468 Fax: 201-447-3189 | |
Dr. Harini Mallipeddi, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 848-228-0280 | |
Dr. Simon John Tsiouris, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450 Phone: 201-447-6468 | |
Gerald Sotsky, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 E. Ridgewood Avenue, Ridgewood, NJ 07450 Phone: 201-670-8660 Fax: 201-447-1957 | |
Dr. Mark David Kirschenbaum, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 104 Chestnut St, Ridgewood, NJ 07450 Phone: 201-670-4664 Fax: 201-670-8007 | |
Rhoda Harriet Cobin, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 75 N Maple Ave, Suite 202, Ridgewood, NJ 07450 Phone: 201-444-5963 Fax: 201-444-4490 |