Berkeley Internal Medicine | |
391 Springfield Ave Berkeley Heights NJ 07922 | |
(908) 665-1177 | |
(908) 665-8420 |
Full Name | Berkeley Internal Medicine |
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Speciality | Internal Medicine |
Location | 391 Springfield Ave, Berkeley Heights, New Jersey |
Authorized Official Name and Position | Samir Patel (MD) |
Authorized Official Contact | 9086651177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Berkeley Internal Medicine Po Box 118 Berkeley Heights NJ 07922 Ph: (908) 665-1177 | Berkeley Internal Medicine 391 Springfield Ave Berkeley Heights NJ 07922 Ph: (908) 665-1177 |
NPI Number | 1720223076 |
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Provider Enumeration Date | 12/15/2008 |
Last Update Date | 05/15/2012 |
Medicare PECOS PAC ID | 3274699897 |
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Medicare Enrollment ID | O20090306000200 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720223076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Samir Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407954548 PECOS PAC ID: 0042235319 Enrollment ID: I20051006000394 |
Provider Name | Olumuyiwa A Ibikunle |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013112069 PECOS PAC ID: 8224189261 Enrollment ID: I20090702000124 |
Provider Name | Nivedita Alla |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316071087 PECOS PAC ID: 0648433680 Enrollment ID: I20120531000383 |
Provider Name | Sakshi Kapur |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538509716 PECOS PAC ID: 6709193790 Enrollment ID: I20150924000145 |
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