Susan George Mautone, MD | |
150 Bergen St, Newark, NJ 07103-2496 | |
(973) 972-0741 | |
(973) 972-7597 |
Full Name | Susan George Mautone |
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Gender | Female |
Speciality | Pediatrics |
Location | 150 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 |
---|---|---|---|
1942352448 | NPI | - | NPPES |
2094606 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA03760300 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Mailing Address | Practice Location Address |
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Susan George Mautone, MD 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: () - | Susan George Mautone, MD 150 Bergen St, Newark, NJ 07103-2496 Ph: (973) 972-0741 |
Dr. Catherine Anne Scarfi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112 Phone: 973-926-6671 | |
Erika Yesenia Pineda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Dr. Anitha Irakam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7203 Fax: 973-926-2332 | |
Dr. Derrick Mcqueen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-3568 Fax: 973-926-6452 | |
Joseph V Schwab, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 90 Bergen St, Suite 4300, Newark, NJ 07103 Phone: 973-972-2100 Fax: 973-972-2102 | |
Mr. Dhanbir S Saluja, MD PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 230 Jefferson St, Newark, NJ 07105 Phone: 973-589-5940 Fax: 973-465-0706 | |
Dr. Rene B. Esquerre, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 644 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-483-4702 Fax: 973-483-0955 |