Charles M Stivala, DO | |
65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | |
(609) 748-7089 | |
(609) 652-3460 |
Full Name | Charles M Stivala |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 21 Years |
Location | 65 W Jimmie Leeds Rd, Pomona, 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 |
---|---|---|---|
1295721447 | NPI | - | NPPES |
0666726 | Medicaid | NJ | |
100816858 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | OS012844 (Pennsylvania) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 25MB10453400 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Atlanticare Regional Medical Center | Atlantic city, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlanticare Physician Group Pa | 8527953660 | 495 |
Entity Name | Atlanticare Physician Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Entity Name | Virtua Medical Group, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Mailing Address | Practice Location Address |
---|---|
Charles M Stivala, DO 3600 Route 66 Fl 3, Neptune, NJ 07753-2645 Ph: (732) 807-0880 | Charles M Stivala, DO 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 Ph: (609) 748-7089 |
Kirk Andrew Mcmurtry, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-748-7089 | |
Dr. Vincent E Lotano, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-404-7089 |