| Smgh Physician Practice Management, Llc | |
|
350 Boulevard Passaic NJ 07055-2840 | |
| (973) 471-5531 | |
| Not Available |
| Full Name | Smgh Physician Practice Management, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Boulevard, Passaic, New Jersey |
| Authorized Official Name and Position | Christopher Doan (CHIEF COMPLIANCE COUNSEL) |
| Authorized Official Contact | 9092354307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smgh Physician Practice Management, Llc 350 Boulevard Passaic NJ 07055-2840 Ph: (973) 471-5531 | Smgh Physician Practice Management, Llc 350 Boulevard Passaic NJ 07055-2840 Ph: (973) 471-5531 |
| NPI Number | 1033578075 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 02/18/2016 |
| Medicare PECOS PAC ID | 6406141480 |
|---|---|
| Medicare Enrollment ID | O20160830001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033578075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vadim Gritsus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336170182 PECOS PAC ID: 1355246331 Enrollment ID: I20031203000391 |
| Provider Name | Sessine Najjar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497862429 PECOS PAC ID: 1759377765 Enrollment ID: I20040423001222 |
| Provider Name | Amit Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861431041 PECOS PAC ID: 7719975754 Enrollment ID: I20040506000240 |
| Provider Name | Stanley A Szwed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629023478 PECOS PAC ID: 7315919107 Enrollment ID: I20040811001067 |
| Provider Name | Arvin J Adler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265430433 PECOS PAC ID: 8224009279 Enrollment ID: I20041105000267 |
| Provider Name | Robert M Gajdos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649347964 PECOS PAC ID: 9830124940 Enrollment ID: I20050928000110 |
| Provider Name | Motria O Ukrainskyj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396791703 PECOS PAC ID: 5092740019 Enrollment ID: I20050928001142 |
| Provider Name | Joe E Najjar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659316289 PECOS PAC ID: 5496842353 Enrollment ID: I20071025000040 |
| Provider Name | Michael Maroules |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134221062 PECOS PAC ID: 2062590540 Enrollment ID: I20080424000102 |
| Provider Name | Orli Langer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528129624 PECOS PAC ID: 3072542406 Enrollment ID: I20080811000685 |
| Provider Name | Glenn Joseph Forrester |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043475643 PECOS PAC ID: 1355403213 Enrollment ID: I20090105000040 |
| Provider Name | Kevin C Herman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619107703 PECOS PAC ID: 4082750591 Enrollment ID: I20091013000609 |
| Provider Name | Angela J Glasnapp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497076012 PECOS PAC ID: 4385824507 Enrollment ID: I20110204000769 |
| Provider Name | Nazia Khan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1700196581 PECOS PAC ID: 2466629761 Enrollment ID: I20120126000488 |
| Provider Name | Michael Subik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003813551 PECOS PAC ID: 6002077401 Enrollment ID: I20120411000700 |
| Provider Name | Kartik Narendra Gohil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649432097 PECOS PAC ID: 8325281751 Enrollment ID: I20150227000783 |
| Provider Name | Brijal Desai |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811282767 PECOS PAC ID: 2567743693 Enrollment ID: I20170104002060 |
| Provider Name | Channing Y Chin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285870428 PECOS PAC ID: 5294864716 Enrollment ID: I20181211000514 |
| Provider Name | Ryan Nelson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962793620 PECOS PAC ID: 1951697762 Enrollment ID: I20190327000161 |
| Provider Name | Oladapo M Babatunde |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083857593 PECOS PAC ID: 2163741729 Enrollment ID: I20191112001915 |
| Provider Name | Cynthia Weber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174750889 PECOS PAC ID: 4688975956 Enrollment ID: I20191211001857 |
| Provider Name | Ali M Saleh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598294134 PECOS PAC ID: 2961827738 Enrollment ID: I20200811000634 |
| Provider Name | Benjamin Kashan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063767903 PECOS PAC ID: 2365721149 Enrollment ID: I20201231000059 |
| Provider Name | Nadia Dussard Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790307155 PECOS PAC ID: 7012324189 Enrollment ID: I20210408000378 |
| Provider Name | Paul Langevin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073537080 PECOS PAC ID: 2860422045 Enrollment ID: I20210527000188 |
| Provider Name | Dhaval Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629620471 PECOS PAC ID: 6709281264 Enrollment ID: I20210820001604 |
| Provider Name | Anoshia Raza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700263787 PECOS PAC ID: 5193112571 Enrollment ID: I20220504000833 |
| Provider Name | Robert Felte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073956728 PECOS PAC ID: 7416191515 Enrollment ID: I20230407000007 |
First Care Providers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 647 Main Ave Ste 207, Passaic, NJ 07055 Phone: 973-735-1231 Fax: 973-735-1232 | |
Chestnuthill Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 Chestnut St, Passaic, NJ 07055 Phone: 973-471-9494 Fax: 973-778-4649 | |
Pichardo Health Group P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Passaic Ave, Suite 1, Passaic, NJ 07055 Phone: 973-928-2167 Fax: 973-928-2170 | |
Passaic Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 362 Monroe St, Passaic, NJ 07055 Phone: 973-777-3222 Fax: 973-777-3225 | |
Center For Adult Medicine And Preventive Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 916-922 Main Ave, Suite 1a, Passaic, NJ 07055 Phone: 973-773-0334 Fax: 973-773-0336 | |
Aa Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Passaic Ave, Passaic, NJ 07055 Phone: 973-773-2039 |