Newark Medical Associates | |
337 Bloomfield Ave Newark NJ 07107-2405 | |
(201) 360-0782 | |
Not Available |
Full Name | Newark Medical Associates |
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Speciality | Internal Medicine |
Location | 337 Bloomfield Ave, Newark, New Jersey |
Authorized Official Name and Position | Prahlad Gadhavi (OWNER) |
Authorized Official Contact | 2013600782 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Newark Medical Associates 337 Bloomfield Ave Newark NJ 07107-2405 Ph: () - | Newark Medical Associates 337 Bloomfield Ave Newark NJ 07107-2405 Ph: (201) 360-0782 |
NPI Number | 1235839515 |
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Provider Enumeration Date | 03/06/2023 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 9133583156 |
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Medicare Enrollment ID | O20230911000018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235839515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Provider Name | Deval P Gadhvi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518119700 PECOS PAC ID: 0345302576 Enrollment ID: I20081223000357 |
Provider Name | Prahlad Gadhavi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326201641 PECOS PAC ID: 2466597976 Enrollment ID: I20170518000270 |
Provider Name | Harshadkumar Chaudhari |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1831551530 PECOS PAC ID: 9537452545 Enrollment ID: I20210730000722 |
Provider Name | Armyl Joseph Ruiz Marquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548522550 PECOS PAC ID: 6406205269 Enrollment ID: I20231206000647 |
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