| Park Avenue Medical Associates, P.a. | |
|
30 Park Ave Suite 202 Lyndhurst NJ 07071-1000 | |
| (201) 438-5900 | |
| Not Available |
| Full Name | Park Avenue Medical Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Park Ave, Lyndhurst, New Jersey |
| Authorized Official Name and Position | Jane Hoskin (VICE-PRESIDENT) |
| Authorized Official Contact | 2014385900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Medical Associates, P.a. 30 Park Ave Suite 202 Lyndhurst NJ 07071-1000 Ph: (201) 438-5900 | Park Avenue Medical Associates, P.a. 30 Park Ave Suite 202 Lyndhurst NJ 07071-1000 Ph: (201) 438-5900 |
| NPI Number | 1528261385 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7618922196 |
|---|---|
| Medicare Enrollment ID | O20050317000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528261385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04207400 (New Jersey) | Primary |
| Provider Name | Soheila Vossough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144379504 PECOS PAC ID: 8527093814 Enrollment ID: I20051005000959 |
| Provider Name | Rhonda A Hagler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487666202 PECOS PAC ID: 8123043072 Enrollment ID: I20051010000653 |
| Provider Name | Jane F Hoskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194738195 PECOS PAC ID: 5294750295 Enrollment ID: I20120127000550 |
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