Simon Vichnevetsky, MD | |
1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 | |
(908) 273-4300 | |
(908) 277-8779 |
Full Name | Simon Vichnevetsky |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Diamond Hill Rd, Berkeley Heights, 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 |
---|---|---|---|
1427020197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MA40137 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Mailing Address | Practice Location Address |
---|---|
Simon Vichnevetsky, MD 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Simon Vichnevetsky, MD 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 |
Miss Eliezer Aurelina Mordan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 Phone: 908-277-8880 Fax: 908-277-8796 | |
Dr. Michael David Passafaro, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8880 Fax: 908-277-8796 | |
John S. Koliopoulos, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8880 Fax: 908-277-8796 | |
Antonios Drivas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8880 | |
Huong Nguyen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-988-4023 | |
Estelle Williams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8880 Fax: 908-277-8796 | |
Kelly Tong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-273-4300 |