Poonam Kothari, MD | |
55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | |
(201) 392-3210 | |
Not Available |
Full Name | Poonam Kothari |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 7 Years |
Location | 55 Meadowlands Pkwy, Secaucus, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609375864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD470753 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 25MA11124800 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Surgical Institute Of Reading | Wyomissing, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Medical Group, P.c. | 1355247180 | 97 |
Entity Name | Integrated Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336102268 PECOS PAC ID: 1355247180 Enrollment ID: O20031211000232 |
Entity Name | Chestnut Hill Clinic Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508936071 PECOS PAC ID: 2860492279 Enrollment ID: O20070109000509 |
Mailing Address | Practice Location Address |
---|---|
Poonam Kothari, MD 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 Ph: () - | Poonam Kothari, MD 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 Ph: (201) 392-3210 |
Shobha A. Jawaharani, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 714 10th St, Secaucus, NJ 07094 Phone: 201-863-3346 | |
Dr. Thomas Judson Bates, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-392-3258 | |
Santiago Enriquez Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-392-3100 |