Avenel Iselin Medical Group, Llc | |
400 Gill Ln Iselin NJ 08830-3001 | |
(732) 404-1580 | |
(732) 404-1594 |
Full Name | Avenel Iselin Medical Group, Llc |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 400 Gill Ln, Iselin, New Jersey |
Authorized Official Name and Position | Jean Parente (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7324041580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avenel Iselin Medical Group, Llc 400 Gill Ln Iselin NJ 08830-3001 Ph: (732) 404-1580 | Avenel Iselin Medical Group, Llc 400 Gill Ln Iselin NJ 08830-3001 Ph: (732) 404-1580 |
NPI Number | 1487674867 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 10/04/2024 |
Medicare PECOS PAC ID | 5597751941 |
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Medicare Enrollment ID | O20040422000098 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487674867 | NPI | - | NPPES |
Provider Name | Mark A Singer |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235136789 PECOS PAC ID: 7719886241 Enrollment ID: I20040311000521 |
Provider Name | Mayank D Patel |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1518985332 PECOS PAC ID: 3870579055 Enrollment ID: I20040628001154 |
Provider Name | Sang Ho Song |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1952386518 PECOS PAC ID: 7416935499 Enrollment ID: I20040708000259 |
Provider Name | Adam Michael Kopelan |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1679573307 PECOS PAC ID: 2668447319 Enrollment ID: I20040827000116 |
Provider Name | Leo J Fontana |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1194722637 PECOS PAC ID: 5193753473 Enrollment ID: I20050728000398 |
Provider Name | Edward S Rittweger |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1184621625 PECOS PAC ID: 1456250984 Enrollment ID: I20050810000726 |
Provider Name | Charles A Saniewski |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336146877 PECOS PAC ID: 5799685673 Enrollment ID: I20050810000742 |
Provider Name | David G Wirtshafter |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225035785 PECOS PAC ID: 3476584814 Enrollment ID: I20050825000835 |
Provider Name | Kevin O Clarke |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598789265 PECOS PAC ID: 8729045489 Enrollment ID: I20061020000380 |
Provider Name | Anjum Tanwir |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1144320128 PECOS PAC ID: 2567564123 Enrollment ID: I20070228000237 |
Provider Name | Peter S Doss |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1609869098 PECOS PAC ID: 0446211155 Enrollment ID: I20070326000160 |
Provider Name | Robert Czyzewski |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1558304782 PECOS PAC ID: 7315004710 Enrollment ID: I20090331000080 |
Provider Name | Alicia Lubin-baskin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801880570 PECOS PAC ID: 2668466426 Enrollment ID: I20091119000035 |
Provider Name | Marc Mayer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720083132 PECOS PAC ID: 8022002872 Enrollment ID: I20091221000166 |
Provider Name | Mitchell F Mayer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639173008 PECOS PAC ID: 7911991773 Enrollment ID: I20091221000223 |
Provider Name | Neil J Perilstein |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144224510 PECOS PAC ID: 2567456320 Enrollment ID: I20091223000244 |
Provider Name | Joseph Riggi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265436638 PECOS PAC ID: 1658411640 Enrollment ID: I20091223000328 |
Provider Name | Wageeh W Azer |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1255501375 PECOS PAC ID: 0749328946 Enrollment ID: I20110519000783 |
Provider Name | David S Pertsemlidis |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1366539769 PECOS PAC ID: 1759562036 Enrollment ID: I20140527000937 |
Provider Name | Swati Gupta |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386035772 PECOS PAC ID: 5799078465 Enrollment ID: I20160719001343 |
Provider Name | Aqsa Siddiqui |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1619350691 PECOS PAC ID: 8820375835 Enrollment ID: I20170501000063 |
Provider Name | Esther Pollack |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568625978 PECOS PAC ID: 9537437637 Enrollment ID: I20170614000474 |
Provider Name | Gladys Belarmino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679092035 PECOS PAC ID: 7315391604 Enrollment ID: I20230920001348 |
Provider Name | Jacob Tatum |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1528590916 PECOS PAC ID: 8527449081 Enrollment ID: I20231205002613 |
Provider Name | Andrew Hurwich |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1649707852 PECOS PAC ID: 3072880939 Enrollment ID: I20240216002450 |
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