Summit Medical Arts Associates, Llc | |
9225 Kennedy Blvd North Bergen NJ 07047-5361 | |
(201) 453-2800 | |
(201) 453-0182 |
Full Name | Summit Medical Arts Associates, Llc |
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Speciality | Internal Medicine |
Location | 9225 Kennedy Blvd, North Bergen, New Jersey |
Authorized Official Name and Position | Kamalesh Shah (OWNER) |
Authorized Official Contact | 2014532800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Summit Medical Arts Associates, Llc 9225 Kennedy Blvd North Bergen NJ 07047-5361 Ph: (201) 453-2800 | Summit Medical Arts Associates, Llc 9225 Kennedy Blvd North Bergen NJ 07047-5361 Ph: (201) 453-2800 |
NPI Number | 1750473146 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 11/30/2016 |
Medicare PECOS PAC ID | 2466424460 |
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Medicare Enrollment ID | O20040810001141 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750473146 | NPI | - | NPPES |
0035793 | Medicaid | NJ |
Provider Name | Orestes Sanchez |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1376530857 PECOS PAC ID: 9436147246 Enrollment ID: I20040503000073 |
Provider Name | Kamalesh Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891780912 PECOS PAC ID: 5991777997 Enrollment ID: I20040811000391 |
Provider Name | Tanmay P Gosalia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184064347 PECOS PAC ID: 5991099731 Enrollment ID: I20160802002272 |
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