| Madison Medical And Sports Rehabilitation L.l.c | |
|
210 Main St, Madison, NJ 07940-2209 | |
| (973) 377-6700 | |
| (973) 377-8008 |
| Full Name | Madison Medical And Sports Rehabilitation L.l.c |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 210 Main St, Madison, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992730253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 38MC00562600 (New Jersey) | Primary |
| Provider Name | Carmen Romano |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023037520 PECOS PAC ID: 8921907403 Enrollment ID: I20040109000263 |
| Provider Name | Zina B Cappiello |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134121734 PECOS PAC ID: 6406843523 Enrollment ID: I20040429000419 |
| Provider Name | John J Mcevoy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619907524 PECOS PAC ID: 9133123029 Enrollment ID: I20060911000346 |
| Provider Name | Anthony Cavazos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104944263 PECOS PAC ID: 0143316109 Enrollment ID: I20071022000776 |
| Provider Name | Erin T Davidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366695678 PECOS PAC ID: 1658436134 Enrollment ID: I20090217000334 |
| Provider Name | Jared M Gunn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720278443 PECOS PAC ID: 6406912393 Enrollment ID: I20090302000064 |
| Provider Name | Kevin B Dunn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891950366 PECOS PAC ID: 1153515895 Enrollment ID: I20101027000429 |
| Provider Name | Mehrdad Rafizadeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790846483 PECOS PAC ID: 0244367134 Enrollment ID: I20110506000619 |
| Provider Name | Rasha Batarseh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962731703 PECOS PAC ID: 6507043098 Enrollment ID: I20140122000132 |
| Provider Name | Kevin Arthur Hall |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467708271 PECOS PAC ID: 3971732538 Enrollment ID: I20140611001449 |
| Provider Name | Cynthia Renee D Amelio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114334133 PECOS PAC ID: 8325345481 Enrollment ID: I20160405000985 |
| Provider Name | Jodie A Bachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952697070 PECOS PAC ID: 1850675364 Enrollment ID: I20170301000891 |
| Provider Name | Hoon Choi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033698220 PECOS PAC ID: 4688912462 Enrollment ID: I20190221000781 |
| Provider Name | Kevin Ellis Vieser |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649783994 PECOS PAC ID: 1052676640 Enrollment ID: I20190624000403 |
| Provider Name | Dominica Hanna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689175796 PECOS PAC ID: 8123452158 Enrollment ID: I20191230001367 |
| Provider Name | Stephen George Derosa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174153795 PECOS PAC ID: 9436585387 Enrollment ID: I20200212002049 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Medical And Sports Rehabilitation L.l.c 210 Main St, Madison, NJ 07940-2209 Ph: (973) 377-6700 | Madison Medical And Sports Rehabilitation L.l.c 210 Main St, Madison, NJ 07940-2209 Ph: (973) 377-6700 |
Dr. Carmen Romano, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 210 Main St, Madison, Madison, NJ 07940 Phone: 973-377-6700 Fax: 973-377-8008 | |
Dr. Stephen George Derosa Jr., DC, ATC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 345 Main St, Madison, NJ 07940 Phone: 973-377-6700 | |
Dr. Gerald F Milazzo, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 210 Main St, Madison, NJ 07940 Phone: 973-377-6700 | |
Dr. James Hollenbach, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 250 Main St, Madison, NJ 07940 Phone: 973-236-0400 Fax: 973-236-0110 | |
Ms. Tanya Maria Maximoff, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 250 Main Street, Suite 6, Madison, NJ 07940 Phone: 973-292-0222 Fax: 973-236-0034 | |
Dr. Joseph Li, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 345 Main St, Madison, NJ 07940 Phone: 973-377-6700 | |
Iiiaxlife Chiropractor Medicare: Medicare Enrolled Practice Location: 250 Main Street, Suite 6, Madison, NJ 07940 Phone: 973-292-0222 Fax: 973-236-0034 |