| One Oak Medical Group, Llc | |
|
342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | |
| (973) 870-0777 | |
| Not Available |
| Full Name | One Oak Medical Group, Llc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 342 Hamburg Tpke Ste 202, Wayne, 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 |
|---|---|---|---|
| 1669997359 | NPI | - | NPPES |
| Provider Name | Aiman K Shilad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992750715 PECOS PAC ID: 7517997448 Enrollment ID: I20050823000026 |
| Provider Name | Chad W Rappaport |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538138664 PECOS PAC ID: 1355324849 Enrollment ID: I20100428000181 |
| Provider Name | Faisal Mahmood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457569196 PECOS PAC ID: 2961675046 Enrollment ID: I20111107000117 |
| Provider Name | Timothy J Henderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326005307 PECOS PAC ID: 1355374760 Enrollment ID: I20121214000003 |
| Provider Name | Faisal Siddiqi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861676678 PECOS PAC ID: 7113160730 Enrollment ID: I20130830000023 |
| Provider Name | Daniel S De Feo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912147166 PECOS PAC ID: 2668640624 Enrollment ID: I20130904000817 |
| Provider Name | Homam Badri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093000465 PECOS PAC ID: 1557583358 Enrollment ID: I20141111001917 |
| Provider Name | Debra S Ibrahim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083840763 PECOS PAC ID: 7719141936 Enrollment ID: I20160226001673 |
| Provider Name | Dina Ibrahim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356752380 PECOS PAC ID: 3779856182 Enrollment ID: I20170907000344 |
| Provider Name | Daniel S Savarino |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1730344391 PECOS PAC ID: 3072705763 Enrollment ID: I20171107001174 |
| Provider Name | Kimberly V Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023308988 PECOS PAC ID: 0143587535 Enrollment ID: I20171120000537 |
| Provider Name | Jessica A. Kowalewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477912863 PECOS PAC ID: 8325394810 Enrollment ID: I20180713001904 |
| Provider Name | Ahmad Badri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790047959 PECOS PAC ID: 4880945443 Enrollment ID: I20180920000304 |
| Provider Name | Simon N Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740532613 PECOS PAC ID: 8224274485 Enrollment ID: I20190308001417 |
| Provider Name | Jennifer Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952633224 PECOS PAC ID: 8527394493 Enrollment ID: I20190730003512 |
| Provider Name | Michael A Ibrahim |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1194188466 PECOS PAC ID: 7719223437 Enrollment ID: I20201020001868 |
| Provider Name | Raj K Panchal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578097317 PECOS PAC ID: 2567875537 Enrollment ID: I20210112001297 |
| Provider Name | Claudia M Rios-datta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366493074 PECOS PAC ID: 1456363068 Enrollment ID: I20210323002302 |
| Provider Name | Tyrone A Mayorga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346731247 PECOS PAC ID: 7719382951 Enrollment ID: I20210825003300 |
| Provider Name | Abdul Arain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023472784 PECOS PAC ID: 0345588695 Enrollment ID: I20220820000061 |
| Provider Name | Ankur Aggarwal |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1275820870 PECOS PAC ID: 5890927925 Enrollment ID: I20240618002719 |
| Provider Name | Taha A Faruqi |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1740636943 PECOS PAC ID: 4082909841 Enrollment ID: I20241204003924 |
| Mailing Address | Practice Location Address |
|---|---|
| One Oak Medical Group, Llc 342 Hamburg Tpke Ste 203, Wayne, NJ 07470-2166 Ph: (973) 870-0777 | One Oak Medical Group, Llc 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 Ph: (973) 870-0777 |