| Rutgers Health-rwj Electrophysiology | |
|
125 Paterson St Suite 5200 New Brunswick NJ 08901-1962 | |
| (732) 235-7130 | |
| Not Available |
| Full Name | Rutgers Health-rwj Electrophysiology |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 Paterson St, New Brunswick, New Jersey |
| Authorized Official Name and Position | Brenda Lawrence (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 7322356070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutgers Health-rwj Electrophysiology 66 W Gilbert St Red Bank NJ 07701 Ph: (732) 212-0051 | Rutgers Health-rwj Electrophysiology 125 Paterson St Suite 5200 New Brunswick NJ 08901-1962 Ph: (732) 235-7130 |
| NPI Number | 1205918349 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 01/18/2021 |
| Medicare PECOS PAC ID | 0244277937 |
|---|---|
| Medicare Enrollment ID | O20050414000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205918349 | NPI | - | NPPES |
| 6778801 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tudor D Vagaonescu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417031170 PECOS PAC ID: 3375517790 Enrollment ID: I20040823000477 |
| Provider Name | James Coromilas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114004645 PECOS PAC ID: 8921094061 Enrollment ID: I20090610000112 |
| Provider Name | William J Kostis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922203439 PECOS PAC ID: 4082871868 Enrollment ID: I20150508001049 |
| Provider Name | John Kassotis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598759003 PECOS PAC ID: 4284604141 Enrollment ID: I20170905000385 |
| Provider Name | Theodore J Maglione |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932444940 PECOS PAC ID: 1153684899 Enrollment ID: I20180411002109 |
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