| Medical Multispecialty Association Pa | |
|
11-26 Saddle River Rd Fair Lawn NJ 07410-5634 | |
| (201) 796-9200 | |
| (201) 796-7606 |
| Full Name | Medical Multispecialty Association Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 11-26 Saddle River Rd, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Brad Herman (PHYSICIAN) |
| Authorized Official Contact | 2017969200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Multispecialty Association Pa 11-26 Saddle River Rd Fair Lawn NJ 07410-5634 Ph: (201) 796-9200 | Medical Multispecialty Association Pa 11-26 Saddle River Rd Fair Lawn NJ 07410-5634 Ph: (201) 796-9200 |
| NPI Number | 1891905873 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 02/12/2015 |
| Medicare PECOS PAC ID | 7113990318 |
|---|---|
| Medicare Enrollment ID | O20040816001419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891905873 | NPI | - | NPPES |
| Provider Name | Vivian Kumar Bethala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235191800 PECOS PAC ID: 7719875277 Enrollment ID: I20040306000105 |
| Provider Name | Anthony F Tramontana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639114093 PECOS PAC ID: 9032174107 Enrollment ID: I20041130001013 |
| Provider Name | Gary D. Hilt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174651947 PECOS PAC ID: 0042246597 Enrollment ID: I20050715000293 |
| Provider Name | Jacob M Reinkraut |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033368022 PECOS PAC ID: 8325193568 Enrollment ID: I20090911000286 |
| Provider Name | Nicole D Rubackin Hayward |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316176068 PECOS PAC ID: 0547303521 Enrollment ID: I20100201000039 |
| Provider Name | Brad M. Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760484729 PECOS PAC ID: 2668577859 Enrollment ID: I20111229000073 |
| Provider Name | Sameer S Naik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952587453 PECOS PAC ID: 0345417382 Enrollment ID: I20120117000091 |
| Provider Name | Jeffrey R Lefkowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790757870 PECOS PAC ID: 1355413725 Enrollment ID: I20120126000533 |
| Provider Name | Oren E Bernheim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639338783 PECOS PAC ID: 4587889563 Enrollment ID: I20140708000066 |
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