| Bryan Alcides Pablo, MD | |
|
718 Teaneck Rd, Teaneck, NJ 07666-4245 | |
| (201) 968-1800 | |
| (201) 968-1814 |
| Full Name | Bryan Alcides Pablo |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 718 Teaneck Rd, Teaneck, 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 |
|---|---|---|---|
| 1114203239 | NPI | - | NPPES |
| 0419443 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 25MA09485200 (New Jersey) | Primary |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Ob Hospitalist Services New Jersey Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801169966 PECOS PAC ID: 3476859182 Enrollment ID: O20160307001190 |
| Entity Name | Mpv New Jersey Md Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215391271 PECOS PAC ID: 5991097669 Enrollment ID: O20160718000760 |
| Entity Name | St Marys General Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477261741 PECOS PAC ID: 5496112476 Enrollment ID: O20230607000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Alcides Pablo, MD Po Box 22581, New York, NY 10087-2581 Ph: (856) 669-6050 | Bryan Alcides Pablo, MD 718 Teaneck Rd, Teaneck, NJ 07666-4245 Ph: (201) 968-1800 |
Jaquellah Taylor, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 222 Cedar Ln, Teaneck, NJ 07666 Phone: 201-833-7087 | |
Dr. Amalia Maria Gonzalez-tineo, DO Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 870 Palisade Ave, Teaneck, NJ 07666 Phone: 201-907-0900 Fax: 201-907-0229 | |
Dr. Sharyn N. Lewin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-227-6200 Fax: 201-227-6209 | |
Daniel H. Smith, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 718 Teaneck Road, Holy Name Medical Center, Regional Cancer Center, Teaneck, NJ 07666 Phone: 201-227-6065 Fax: 201-227-6295 | |
Jason Nick Kanos, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-3000 | |
Dr. Shonda M. Corbett, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd Ste 301, Teaneck, NJ 07666 Phone: 551-288-1025 |