Tanya Randall, MD | |
55 Schanck Rd, Suite 8a, Freehold, NJ 07728-2964 | |
(732) 431-9544 | |
(732) 431-9313 |
Full Name | Tanya Randall |
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Gender | Female |
Speciality | Anesthesiology |
Location | 55 Schanck Rd, Freehold, 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 |
---|---|---|---|
1932173796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA06419100 (New Jersey) | Primary |
Entity Name | Specialty Anesthesia Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932290111 PECOS PAC ID: 3577512789 Enrollment ID: O20050114000208 |
Entity Name | Parkway Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258 |
Mailing Address | Practice Location Address |
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Tanya Randall, MD 55 Schanck Rd, Suite 8a, Freehold, NJ 07728-2964 Ph: (732) 431-9544 | Tanya Randall, MD 55 Schanck Rd, Suite 8a, Freehold, NJ 07728-2964 Ph: (732) 431-9544 |
Dr. Joseph Alexander Deantonio, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12 Adams Pl, Freehold, NJ 07728 Phone: 908-692-5196 | |
Mariam Ghobriel, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 W Main St, 111, Freehold, NJ 07728 Phone: 732-303-0102 Fax: 732-637-8539 | |
Dr. Neeraj K Nanavati, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 901 W Main St Fl 2, Freehold, NJ 07728 Phone: 732-294-2876 | |
Hemangini G Mehta, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 55 Schanck Rd, Suite 8a, Freehold, NJ 07728 Phone: 732-431-9544 Fax: 732-431-9313 | |
Dr. John Mak, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Schanck Rd, Sute 8a, Freehold, NJ 07728 Phone: 732-431-9544 Fax: 732-431-9313 | |
Dr. Manish Pravin Khetani, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55-77 Schanck Rd Ste B-13, Freehold, NJ 07728 Phone: 732-612-8485 | |
Sung Chung, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 55 Schanck Rd, Suite 8a, Freehold, NJ 07728 Phone: 732-431-9544 Fax: 732-431-9313 |