| Glenridge Medical Associates Pc | |
|
385 Seneca Ave Ridgewood NY 11385-1340 | |
| (718) 821-1222 | |
| Not Available |
| Full Name | Glenridge Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 385 Seneca Ave, Ridgewood, New York |
| Authorized Official Name and Position | Deepak Setia (PRESIDENT) |
| Authorized Official Contact | 7188211222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenridge Medical Associates Pc 385 Seneca Ave Ridgewood NY 11385-1340 Ph: (718) 821-1222 | Glenridge Medical Associates Pc 385 Seneca Ave Ridgewood NY 11385-1340 Ph: (718) 821-1222 |
| NPI Number | 1639236854 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6709871767 |
|---|---|
| Medicare Enrollment ID | O20040419000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639236854 | NPI | - | NPPES |
| 02396716 | Medicaid | NY |
| Provider Name | Rekha Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035466 PECOS PAC ID: 6406748235 Enrollment ID: I20040326000836 |
| Provider Name | Khaing Moe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053388454 PECOS PAC ID: 4981596723 Enrollment ID: I20040326000891 |
| Provider Name | Deepak K Setia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285640698 PECOS PAC ID: 5698757987 Enrollment ID: I20040601001532 |
| Provider Name | Merlene M Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588774434 PECOS PAC ID: 7517914195 Enrollment ID: I20050406000054 |
| Provider Name | Virender Hak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558317537 PECOS PAC ID: 9537219464 Enrollment ID: I20090615000260 |
| Provider Name | Cumanda D Angustia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427325026 PECOS PAC ID: 1759543002 Enrollment ID: I20120502000339 |
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