Tito Aventurado, MD | |
355 Grand St, Jersey City, NJ 07302-4321 | |
(201) 871-6073 | |
(201) 871-0619 |
Full Name | Tito Aventurado |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 355 Grand St, Jersey City, 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 |
---|---|---|---|
1336175090 | NPI | - | NPPES |
1487001 | Medicaid | NJ | |
P00241431 | Other | NJ | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA03735600 (New Jersey) | Primary |
Entity Name | Morris Avenue Endoscopy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184778060 PECOS PAC ID: 8921074840 Enrollment ID: O20040902000513 |
Mailing Address | Practice Location Address |
---|---|
Tito Aventurado, MD 375 Engle St, Second Floor, Englewood, NJ 07631-1823 Ph: (201) 871-6073 | Tito Aventurado, MD 355 Grand St, Jersey City, NJ 07302-4321 Ph: (201) 871-6073 |
Dr. Subramanium E Khanthan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3049 Kennedy Blvd, Jersey City, NJ 07306 Phone: 201-653-9561 | |
Kun Kim, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 176 Palisade Ave, Jersey City, NJ 07306 Phone: 201-945-2481 Fax: 201-943-8105 | |
Dr. Michael M Pham, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 355 Grand St, 2w 105, Jersey City, NJ 07302 Phone: 201-915-2405 | |
Zenaida Deocera, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 355 Grand St, Jersey City, NJ 07302 Phone: 201-871-6073 Fax: 201-871-0619 | |
Cyriac K Joseph, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 355 Grand St, Jersey City, NJ 07302 Phone: 201-915-2741 | |
Dr. William Bradford Avery, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 270 Marin Blvd, Apt. 5 L, Jersey City, NJ 07302 Phone: 860-922-7723 | |
Dr. Rytis Valskys, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 550 Newark Ave Fl 5, Jersey City, NJ 07306 Phone: 201-984-2294 Fax: 201-984-2348 |