Matis A Fermaglich, MD is a
Urology physician based in Teaneck, New Jersey. Matis A Fermaglich is licensed to practice in New Jersey (license number 25MA02477500) and his current practice location is 865 Teaneck Rd, Teaneck, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 837-0606.
NPI number for Matis A Fermaglich is 1386603785 and his current mailing address is 15-01 Broadway, Rt 4 West, Suites 1 & 3, Fair Lawn, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386603785.
Physician's Profile
Full Name | Matis A Fermaglich |
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Gender | Male |
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Speciality | Urology |
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Location | 865 Teaneck Rd, Teaneck, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386603785
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Matis A Fermaglich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386603785 | NPI | - | NPPES |
1409506 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 25MA02477500 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matis A Fermaglich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Matis A Fermaglich, MD 15-01 Broadway, Rt 4 West, Suites 1 & 3, Fair Lawn, NJ 07410 Ph: (201) 791-4544 | Matis A Fermaglich, MD 865 Teaneck Rd, Teaneck, NJ 07666-4513 Ph: (201) 837-0606 |
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