Sergio G Golombek, MD | |
30 Prospect Ave Rm 218, Hackensack, NJ 07601-1915 | |
(551) 996-5362 | |
(551) 996-3232 |
Full Name | Sergio G Golombek |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 30 Prospect Ave Rm 218, Hackensack, 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 |
---|---|---|---|
1770585432 | NPI | - | NPPES |
01689183 | Medicaid | NY | |
PENDING | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 204505 (New York) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 25MA10751300 (New Jersey) | Primary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Mailing Address | Practice Location Address |
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Sergio G Golombek, MD 3600 Route 66 Fl 3, Neptune, NJ 07753-2645 Ph: (732) 807-0877 | Sergio G Golombek, MD 30 Prospect Ave Rm 218, Hackensack, NJ 07601-1915 Ph: (551) 996-5362 |
Jennifer Northridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2237 | |
Joy L Tun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5430 Fax: 551-996-4919 | |
Dr. Phillip I Ayeni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Dr. Malkhazi Mikadze, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics Dept, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Rose Ann Reyes Macalintal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Summit Ave, Hackensack, NJ 07601 Phone: 201-525-0077 | |
Gurpreet Phull, Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 908-251-3250 | |
Shoshana Sophie Rothman Tell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5329 |