Omid Ezati, MD | |
401 Barclay Blvd, Princeton, NJ 08540-5877 | |
(609) 955-6252 | |
Not Available |
Full Name | Omid Ezati |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 401 Barclay Blvd, Princeton, 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 |
---|---|---|---|
1518120658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | DR.0056728 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
St Luke's Hospital - Anderson Campus | Easton, PA | Hospital |
St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
Geisinger St. Luke's Hospital | Orwigsburg, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Progressive Physician Assoc Inc | 1355243809 | 118 |
Progressive Physician Assoc Inc | 1355243809 | 118 |
Entity Name | Progressive Physician Assoc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881646859 PECOS PAC ID: 1355243809 Enrollment ID: O20040123000977 |
Mailing Address | Practice Location Address |
---|---|
Omid Ezati, MD 401 Barclay Blvd, Princeton, NJ 08540-5877 Ph: (609) 955-6252 | Omid Ezati, MD 401 Barclay Blvd, Princeton, NJ 08540-5877 Ph: (609) 955-6252 |
Dr. Theresa Anne Aquino, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 87 Lafayette Rd, Princeton, NJ 08540 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Melissa M Lantz, DO Radiology Medicare: Medicare Enrolled Practice Location: 33 Province Line Rd, Princeton, NJ 08540 Phone: 952-595-1100 Fax: 952-942-3361 | |
Dr. Ryan William England, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 619 Alexander Rd Ste 203, Princeton, NJ 08540 Phone: 508-951-4138 | |
Seth Stein, Radiology Medicare: Accepting Medicare Assignments Practice Location: 419 North Harrison St. Princeton Radiology Associates,, Princeton, NJ 08540 Phone: 732-821-4800 Fax: 732-821-3250 | |
Dr. Michael G Stebbins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 41 Governors Ln, Princeton, NJ 08540 Phone: 609-921-3579 | |
Dr. Gwen E. Guglielmi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 65 Maybury Hill Road, Princeton, NJ 08540 Phone: 609-497-0196 Fax: 732-821-6675 |