Robyn Kia Gantt, MD | |
30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | |
(973) 972-0037 | |
(973) 972-9355 |
Full Name | Robyn Kia Gantt |
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Gender | Female |
Speciality | Family Medicine |
Location | 30 Bergen St, Newark, 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 |
---|---|---|---|
1821009309 | NPI | - | NPPES |
8292507 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA06680800 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Entity Name | Medexpress Urgent Care - New Jersey Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205183894 PECOS PAC ID: 6103076526 Enrollment ID: O20121022000045 |
Entity Name | Medexpress Urgent Care - Northern New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487185369 PECOS PAC ID: 4183965122 Enrollment ID: O20190401001534 |
Mailing Address | Practice Location Address |
---|---|
Robyn Kia Gantt, MD 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: (973) 972-0037 | Robyn Kia Gantt, MD 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: (973) 972-0037 |
Pamela Anderson, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 354 Doremus Ave, Newark, NJ 07105 Phone: 973-274-6816 | |
Michael A. Gerstmann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 183 S Orange Ave, Bhsb B-1455, Newark, NJ 07103 Phone: 973-972-6479 Fax: 973-972-8626 | |
Padam K Neopane, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St Ste 300, Newark, NJ 07103 Phone: 973-972-2111 Fax: 973-972-2754 | |
Dr. Hortensia Kelly, D.O Family Medicine Medicare: Medicare Enrolled Practice Location: 851 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-481-0501 Fax: 973-481-0503 | |
Novneet Sahu, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 185 S Orange Ave, Newark, NJ 07103 Phone: 973-972-2861 | |
Aicha Fofana, MSN, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 374 7th Ave W Unit 7114, Newark, NJ 07107 Phone: 862-235-7886 | |
Noa'a Shimoni, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 90 Bergen St, Suite 1750, Newark, NJ 07103 Phone: 973-972-8219 Fax: 973-972-0018 |