Victor Hartanto, MD | |
4 Godwin Avenue, Midland Park, NJ 07432 | |
(201) 444-7070 | |
(201) 444-7228 |
Full Name | Victor Hartanto |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 21 Years |
Location | 4 Godwin Avenue, Midland Park, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376679639 | NPI | - | NPPES |
0104850 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MA068689 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Valley Home Care Inc. | Paramus, NJ | Home health agency |
Valley Hospital | Ridgewood, NJ | Hospital |
Hackensack Meridian Health Pascack Valley Medical | Westwood, NJ | Hospital |
Englewood Hospital And Medical Center | Englewood, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urology Group Pa | 7214908102 | 7 |
Entity Name | Urology Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427012897 PECOS PAC ID: 7214908102 Enrollment ID: O20040804000458 |
Mailing Address | Practice Location Address |
---|---|
Victor Hartanto, MD 4 Godwin Avenue, Midland Park, NJ 07432 Ph: (201) 444-7070 | Victor Hartanto, MD 4 Godwin Avenue, Midland Park, NJ 07432 Ph: (201) 444-7070 |
Saurabh Agarwal, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Ave, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 | |
Timothy Joseph Mackey, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 | |
Wayne Raymond Detorres, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 | |
Richard David Baum, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 | |
Howard Lawrence Frey, MD Urology Medicare: Medicare Enrolled Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 |