| Summit Avenue Medical Pa | |
|
5 Summit Ave Ste 1 Hackensack NJ 07601-8503 | |
| (201) 646-0001 | |
| (201) 646-9101 |
| Full Name | Summit Avenue Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Sharon B Levont (OFFICE MANAGER) |
| Authorized Official Contact | 2016460001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Avenue Medical Pa 5 Summit Ave Ste 1 Hackensack NJ 07601-8503 Ph: (201) 646-0001 | Summit Avenue Medical Pa 5 Summit Ave Ste 1 Hackensack NJ 07601-8503 Ph: (201) 646-0001 |
| NPI Number | 1275531550 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2860580628 |
|---|---|
| Medicare Enrollment ID | O20071113000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275531550 | NPI | - | NPPES |
| 0127584001 | Other | AMERIHEALTH | |
| 2514 | Other | AETNA US HEALTHCARE | |
| CD1762 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
| Provider Name | Kalpana Cheeti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649352857 PECOS PAC ID: 9335186022 Enrollment ID: I20050414000151 |
| Provider Name | Adam S Goldfarb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275534174 PECOS PAC ID: 6103867049 Enrollment ID: I20050520000233 |
| Provider Name | Edward Ralph Prins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619978905 PECOS PAC ID: 0446316053 Enrollment ID: I20110613000229 |
Hackensack Digestive Disease Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 1st St, Hackensack, NJ 07601 Phone: 201-488-3003 Fax: 201-488-6911 | |
Mms Healthcare Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Main St Fl 4, Hackensack, NJ 07601 Phone: 201-996-9035 | |
Nj Docs Progressive Medical Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Hudson St Ste 301, Hackensack, NJ 07601 Phone: 201-641-2125 Fax: 212-888-6024 | |
David P. Bleeker Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Essex St, Suite 401, Hackensack, NJ 07601 Phone: 201-487-1711 Fax: 201-487-3377 | |
Vault Medical Services Of New Jersey Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Essex St Ste 406, Hackensack, NJ 07601 Phone: 929-388-1551 | |
Mina Shaker Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Summit Ave, Hackensack, NJ 07601 Phone: 201-343-6360 | |
North Jersey Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 92 Summit Ave, Hackensack, NJ 07601 Phone: 201-342-0066 Fax: 201-342-0079 |