| Blaise P Latriano, MD | |
| 
					185 Roseberry St, Phillipsburg, NJ 08865-1690  | |
| (908) 859-6779 | |
| (908) 859-6813 | 
| Full Name | Blaise P Latriano | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Critical Care Medicine | 
| Location | 185 Roseberry St, Phillipsburg, 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 | 
|---|---|---|---|
| 1194779926 | NPI | - | NPPES | 
| 8359202 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | MA71175 (New Jersey) | Primary | 
| Entity Name | North Shore-lij Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262  | 
| Entity Name | Critical Care Physician Of New York Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316293954 PECOS PAC ID: 4688825839 Enrollment ID: O20121115000474  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Blaise P Latriano, MD 10 Brass Castle Rd, Washington, NJ 07882-4327 Ph: (908) 835-1910  | Blaise P Latriano, MD 185 Roseberry St, Phillipsburg, NJ 08865-1690 Ph: (908) 859-6779  | 
Dr. Arthur H Popkave, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coventry Dr, Phillipsburg, NJ 08865 Phone: 908-859-3800 Fax: 908-859-4310  | |
Dr. Kishorkumar Gurdnandas Nar, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 96 Baltimore St, A, Phillipsburg, NJ 08865 Phone: 908-454-2212 Fax: 908-454-1218  | |
Dr. Shiva Rezvanian, M.D Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-835-1910 Fax: 908-835-1886  | |
Dr. Dhyanesh C Pandya,  Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 484-526-6643 Fax: 484-526-4658  | |
Yogesh Viroja, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy, Suite 203, Phillipsburg, NJ 08865 Phone: 908-859-4446 Fax: 908-859-1569  | |
Karen L Hotchkin, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 Strykers Rd, Phillipsburg, NJ 08865 Phone: 908-859-6568 Fax: 908-859-6697  |