Sarah Lyon Komline, MD | |
1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | |
(732) 828-3000 | |
(732) 235-9340 |
Full Name | Sarah Lyon Komline |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 1 Robert Wood Johnson Pl, New Brunswick, 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 |
---|---|---|---|
1467830810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101264705 (Virginia) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 25MA11561300 (New Jersey) | Primary |
Entity Name | Childrens Specialty Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
---|---|
Sarah Lyon Komline, MD 111 E 18th St, Apt 405, Norfolk, VA 23517-0018 Ph: (908) 432-4695 | Sarah Lyon Komline, MD 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 Ph: (732) 828-3000 |
Dr. I. Mark Hiatt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 254 Easton Ave, New Brunswick, NJ 08901 Phone: 732-745-8600 Fax: 732-249-9572 | |
Lynne Weiss, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 French Street, Suite 2300, New Brunswick, NJ 08901 Phone: 732-235-6230 Fax: 732-235-6620 | |
Margaret Masterson, Pediatrics Medicare: Medicare Enrolled Practice Location: 195 Little Albany St, New Brunswick, NJ 08901 Phone: 732-235-6455 Fax: 732-235-6462 | |
Lisanne Hauck, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901 Phone: 732-235-7900 | |
Daniel Notterman, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901 Phone: 732-235-7900 | |
Minh-tu Do, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, Meb 342, New Brunswick, NJ 08901 Phone: 732-235-7893 Fax: 732-235-9340 | |
Christoph Ohngemach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 254 Easton Ave, New Brunswick, NJ 08901 Phone: 732-745-8600 Fax: 732-745-8725 |