Shefali Vyas, MD | |
101 Old Short Hills Rd, Suite 505, West Orange, NJ 07052-1000 | |
(973) 322-6767 | |
(973) 322-6780 |
Full Name | Shefali Vyas |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Nephrology |
Location | 101 Old Short Hills Rd, West Orange, 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 |
---|---|---|---|
1780676056 | NPI | - | NPPES |
02132025 | Medicaid | NY | |
0101427 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0210X | Pediatrics - Pediatric Nephrology | 226092 (New York) | Secondary |
2080P0210X | Pediatrics - Pediatric Nephrology | MA080095 (New Jersey) | Primary |
Entity Name | Barnabas Health Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Mailing Address | Practice Location Address |
---|---|
Shefali Vyas, MD 101 Old Short Hills Rd Ste 505, West Orange, NJ 07052-1023 Ph: (973) 322-6767 | Shefali Vyas, MD 101 Old Short Hills Rd, Suite 505, West Orange, NJ 07052-1000 Ph: (973) 322-6767 |
Dr. Erik Dienna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 745 Northfield Ave Ste 7, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 855-274-7153 | |
Dr. Seth Ness, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Marcy Pl, West Orange, NJ 07052 Phone: 973-669-9764 | |
Dr. Svetlana Lantsman Sabel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave Ste 105, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Dr. Susan Sonhe Yoo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 | |
Dr. Constantinos Kintiroglou, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 973-243-1227 | |
Marianne Jacob, Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Valentyna Tack, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 |