| Cmg Medical Group I Llc | |
|
420 Bridge Plaza Dr Manalapan NJ 07726-1735 | |
| (732) 536-8008 | |
| (732) 536-8849 |
| Full Name | Cmg Medical Group I Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 420 Bridge Plaza Dr, Manalapan, New Jersey |
| Authorized Official Name and Position | Marc Feingold (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7323976272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmg Medical Group I Llc 402 Lippincott Dr Marlton NJ 08053-4112 Ph: () - | Cmg Medical Group I Llc 420 Bridge Plaza Dr Manalapan NJ 07726-1735 Ph: (732) 536-8008 |
| NPI Number | 1942778014 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Medicare PECOS PAC ID | 9234475468 |
|---|---|
| Medicare Enrollment ID | O20190509000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942778014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark J Todt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477595064 PECOS PAC ID: 9931159142 Enrollment ID: I20050126000114 |
| Provider Name | Sneh Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912971730 PECOS PAC ID: 4789616947 Enrollment ID: I20050908000586 |
| Provider Name | Eduardo F Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063573616 PECOS PAC ID: 7214961523 Enrollment ID: I20050926000239 |
| Provider Name | Lisa A Dructor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245296169 PECOS PAC ID: 0840353124 Enrollment ID: I20090113000355 |
| Provider Name | Keith Damerau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558302349 PECOS PAC ID: 2365570322 Enrollment ID: I20100512000437 |
| Provider Name | Monica Patel Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699138552 PECOS PAC ID: 1254695174 Enrollment ID: I20191001000215 |
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