| Benjamin Tack, DO | |
|
189 Eagle Rock Ave, Roseland, NJ 07068-1347 | |
| (845) 853-5739 | |
| Not Available |
| Full Name | Benjamin Tack |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 8 Years |
| Location | 189 Eagle Rock Ave, Roseland, 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 |
|---|---|---|---|
| 1215426812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MB11904700 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Barnabas Medical Center | Livingston, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infectious Disease Specialists Llc | 0547279036 | 6 |
| Entity Name | Infectious Disease Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699711762 PECOS PAC ID: 0547279036 Enrollment ID: O20060411000528 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Tack, DO 189 Eagle Rock Ave, Roseland, NJ 07068-1347 Ph: (845) 853-5739 | Benjamin Tack, DO 189 Eagle Rock Ave, Roseland, NJ 07068-1347 Ph: (845) 853-5739 |
Dr. Stephen Smith, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 189 Eagle Rock Ave, Roseland, NJ 07068 Phone: 973-980-0195 Fax: 973-774-1920 | |
Dr. Richard L Klein, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Adp Blvd, Roseland, NJ 07068 Phone: 973-974-5757 Fax: 973-974-3348 | |
Jennifer Knight, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 189 Eagle Rock Ave, Roseland, NJ 07068 Phone: 850-443-5609 | |
Dr. George Schneider, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 204 Eagle Rock Ave, Roseland, NJ 07068 Phone: 973-228-2047 Fax: 973-228-1428 | |
Dr. Albert Kowalski, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 80 Livingston Ave, Roseland, NJ 07068 Phone: 973-548-5189 Fax: 973-548-7690 |