| Bhavna K Patel, MD, FAAP | |
|
2950 College Drive, Unit 2 C, Vineland, NJ 08360 | |
| (856) 692-6000 | |
| (856) 692-0609 |
| Full Name | Bhavna K Patel |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2950 College Drive, Vineland, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205867876 | NPI | - | NPPES |
| 22-3133751 | Other | NJ | TAX IDENTIFICATION NUMBER |
| 4993900 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25MA06289200 (New Jersey) | Primary |
| Entity Name | Excelcare Alliance Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891090510 PECOS PAC ID: 0941470082 Enrollment ID: O20110830000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Bhavna K Patel, MD, FAAP 76 S State St, Vineland, NJ 08360-4851 Ph: (856) 205-1112 | Bhavna K Patel, MD, FAAP 2950 College Drive, Unit 2 C, Vineland, NJ 08360 Ph: (856) 692-6000 |
Trupti Pandit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-845-0100 Fax: 302-651-4945 | |
Michael A Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1318 S Main Road, Vineland, NJ 08360 Phone: 856-691-8585 Fax: 856-691-8489 | |
Sabitu Christina Alofoje, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2950 College Dr Ste 2c, Vineland, NJ 08360 Phone: 856-692-6000 Fax: 856-692-0609 | |
Olabode O Ogidan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1138 E Chestnut Ave, Vineland, NJ 08360 Phone: 856-692-1108 Fax: 856-692-2077 | |
Dr. Rolande Alam Mirone, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1318 S Main Rd, Building 1, Vineland, NJ 08360 Phone: 856-691-8585 Fax: 856-691-8489 | |
David B Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1318 S Main Road, Vineland, NJ 08360 Phone: 856-691-8585 Fax: 856-691-8489 | |
Dr. Charrell Moyo Bird, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1505 W Sherman Ave, Pediatrix Medical Group, Vineland, NJ 08360 Phone: 856-845-0100 Fax: 302-651-4945 |