Dr Gilberto Pagan, PHD | |
467 Mount Prospect Ave, Newark, NJ 07104-2907 | |
(973) 483-0448 | |
Not Available |
Full Name | Dr Gilberto Pagan |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 53 Years |
Location | 467 Mount Prospect Ave, Newark, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114021607 | NPI | - | NPPES |
4014405 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | SIO 2338 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oceanic Counseling Group Llc | 4486067600 | 19 |
Supportive Care Of South Carolina Llc | 7618352451 | 10 |
Entity Name | Oceanic Counseling Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922631522 PECOS PAC ID: 4486067600 Enrollment ID: O20210107002393 |
Entity Name | Supportive Care Of South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417681412 PECOS PAC ID: 7618352451 Enrollment ID: O20220915001319 |
Mailing Address | Practice Location Address |
---|---|
Dr Gilberto Pagan, PHD 467 Mount Prospect Ave, Newark, NJ 07104-2907 Ph: (973) 483-0448 | Dr Gilberto Pagan, PHD 467 Mount Prospect Ave, Newark, NJ 07104-2907 Ph: (973) 483-0448 |
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