Phillip Thomas Knight, DO | |
3196 Kennedy Blvd, Union City, NJ 07087 | |
(833) 617-0500 | |
Not Available |
Full Name | Phillip Thomas Knight |
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Gender | Male |
Speciality | Pediatrics |
Location | 3196 Kennedy Blvd, Union City, 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 |
---|---|---|---|
1639557598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MB10290700 (New Jersey) | Primary |
Entity Name | Garden State Healthcare Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
Mailing Address | Practice Location Address |
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Phillip Thomas Knight, DO 3196 Kennedy Blvd, Union City, NJ 07087-2436 Ph: (833) 617-0500 | Phillip Thomas Knight, DO 3196 Kennedy Blvd, Union City, NJ 07087 Ph: (833) 617-0500 |
Dr. Kari Jane Teraguchi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4110 Kennedy Blvd, Union City, NJ 07087 Phone: 201-319-9800 Fax: 201-319-9849 | |
Dr. Jose R Fragoso, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4808 Bergenline Ave, 5th Floor, Union City, NJ 07087 Phone: 201-865-3444 Fax: 201-865-0038 | |
Wilson Eduardo Delgado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4201 New York Ave, Union City, NJ 07087 Phone: 201-601-9515 Fax: 201-601-9516 | |
Jovanna Cohen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4110 Kennedy Blvd, Union City, NJ 07087 Phone: 201-319-9800 | |
Dr. Kevin Joseph Mcdonough, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 511 22nd St, Union City, NJ 07087 Phone: 201-866-7740 Fax: 201-866-6610 | |
Dr. Noha Polack, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3196 Kennedy Blvd, Third Floor, Union City, NJ 07087 Phone: 201-319-9800 Fax: 201-319-9849 | |
Dr. Fernando Suarez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3196 Kennedy Blvd, Union City, NJ 07087 Phone: 833-617-0500 |