Timothy C Gjenvick, MD | |
1600 Perrineville Rd, Monroe Twp, NJ 08831-4923 | |
(609) 924-9300 | |
(609) 430-9451 |
Full Name | Timothy C Gjenvick |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1600 Perrineville Rd, Monroe Twp, 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 |
---|---|---|---|
1003905498 | NPI | - | NPPES |
162296 | Other | NJ | AMERIHLTH ADMIN-PCP |
2647154 | Other | NJ | AETNA HMO&NON HMO-PCP |
249681 | Other | NJ | UNITEDE HEALTHCARE-PCP |
LS403 | Other | NJ | OXFORD-PCP |
110246529 | Other | NJ | RAILROAD MED-PRINCETON |
0085740000 | Other | NJ | AMERIHEALTH/IBC-PCP |
110244288 | Other | NJ | RAILROAD MED.-MONROE |
3150305 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA03470600 (New Jersey) | Primary |
Entity Name | Princeton Medical Group,p.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063513679 PECOS PAC ID: 6406835305 Enrollment ID: O20040715000131 |
Mailing Address | Practice Location Address |
---|---|
Timothy C Gjenvick, MD 419 N Harrison St, Princeton, NJ 08540-3521 Ph: (609) 924-9300 | Timothy C Gjenvick, MD 1600 Perrineville Rd, Monroe Twp, NJ 08831-4923 Ph: (609) 924-9300 |
Jory J Goldberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Centre Dr, Suite 103, Monroe Twp, NJ 08831 Phone: 609-655-1700 Fax: 609-655-4455 | |
Dr. Kaushal Kartikey Nanavati, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Agnes Ct, Monroe Twp, NJ 08831 Phone: 609-448-4600 Fax: 609-448-4660 | |
Dr. Kartikey Jayendrakumar Nanavati, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Agnes Ct, Monroe Twp, NJ 08831 Phone: 609-448-4600 Fax: 609-448-4660 | |
Dr. Vineet Prasad, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Mindy Ln, Monroe Twp, NJ 08831 Phone: 732-723-0880 | |
Anthony Scardella, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11 Centre Dr, Suite A, Monroe Twp, NJ 08831 Phone: 609-395-2460 Fax: 609-409-3985 | |
James Nicholas Logothetis, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 283 Applegarth Rd, Monroe Twp, NJ 08831 Phone: 609-655-1046 Fax: 609-655-3830 |