Tariq M Mian, MD | |
155 Jefferson St, Newark, NJ 07105-1706 | |
(908) 490-0036 | |
(908) 490-0067 |
Full Name | Tariq M Mian |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 155 Jefferson 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 |
---|---|---|---|
1457429227 | NPI | - | NPPES |
9029109 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA07374700 (New Jersey) | Primary |
Entity Name | Xenon Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437561073 PECOS PAC ID: 3971807314 Enrollment ID: O20160205000746 |
Entity Name | New Jersey Anesthesia Professionals Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356866586 PECOS PAC ID: 6709146236 Enrollment ID: O20180201001463 |
Entity Name | New Jersey Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689337826 PECOS PAC ID: 0143610279 Enrollment ID: O20211206000079 |
Mailing Address | Practice Location Address |
---|---|
Tariq M Mian, MD Po Box 1923, Bloomfield, NJ 07003-1923 Ph: (908) 490-0036 | Tariq M Mian, MD 155 Jefferson St, Newark, NJ 07105-1706 Ph: (908) 490-0036 |
Dr. Anna Korban, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave # Msbf-611, Newark, NJ 07103 Phone: 973-972-5007 Fax: 973-972-0582 | |
Dr. Deepa Asokan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave, Msb Ste E547, Newark, NJ 07103 Phone: 973-972-5006 | |
Dr. Lawrence Willis Chinn Sr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 856-235-1983 | |
Dr. Da Wang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave Rm E-538, Newark, NJ 07103 Phone: 973-972-0470 | |
Anastasios Fotinos, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5000 | |
Jose R Chan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 201-943-0034 Fax: 201-943-8105 | |
Bong H Choi, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 155 Jefferson St, Newark, NJ 07105 Phone: 908-490-0036 Fax: 908-490-0067 |