Ramazi Otarovich Datiashvili, | |
90 Bergen St, Doc 7200, Newark, NJ 07103-2425 | |
(973) 972-1129 | |
(973) 972-2407 |
Full Name | Ramazi Otarovich Datiashvili |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 52 Years |
Location | 90 Bergen St, Newark, 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 |
---|---|---|---|
1952466518 | NPI | - | NPPES |
8516006 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 25MA06921300 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Physician Associates Of New Jersey Inc | 9830003417 | 241 |
Entity Name | University Physician Associates Of New Jersey Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639189236 PECOS PAC ID: 9830003417 Enrollment ID: O20040301000906 |
Mailing Address | Practice Location Address |
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Ramazi Otarovich Datiashvili, 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: () - | Ramazi Otarovich Datiashvili, 90 Bergen St, Doc 7200, Newark, NJ 07103-2425 Ph: (973) 972-1129 |
Dr. Michael A. Curi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Division Of Vascular Surgery Suite 7100, Newark, NJ 07103 Phone: 973-972-9371 Fax: 973-972-0092 | |
Amy Virginia Gore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St, Suite E-401, Newark, NJ 07103 Phone: 973-972-3106 | |
Eduardo Antonio Espinoza Olortegui, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 150 Bergen St Ste F-102, Newark, NJ 07103 Phone: 973-972-9573 | |
Dr. Aziz M Merchant, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave, Rutgers-new Jersey Medical School, Msb G514, Newark, NJ 07103 Phone: 973-972-0072 | |
Joe T. Huang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St, F-102, Newark, NJ 07103 Phone: 973-972-9371 | |
Francisco Jovani Alvarado, MD Surgery Medicare: Medicare Enrolled Practice Location: 185 S Orange Ave # Msbg506, Newark, NJ 07103 Phone: 973-972-3808 | |
Dr. Daniel Gabriel Jimenez, MD Surgery Medicare: Medicare Enrolled Practice Location: 185 S Orange Ave, Newark, NJ 07103 Phone: 973-972-6295 |