David Widjaja, MD | |
1650 Grand Concourse, Bronx, NY 10457-7606 | |
(718) 960-1234 | |
Not Available |
Full Name | David Widjaja |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 28 Years |
Location | 1650 Grand Concourse, Bronx, New York |
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 |
---|---|---|---|
1194985291 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health | Fargo, ND | Hospital |
Albany Medical Center Hospital | Albany, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Albany Medical College | 1759293111 | 910 |
Innovis Health Llc | 9931298155 | 473 |
Entity Name | Albany Medical College |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Entity Name | Albany Medical College |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
Mailing Address | Practice Location Address |
---|---|
David Widjaja, MD 1650 Selwyn Ave, 10th Floor, Bronx, NY 10457-7626 Ph: (718) 960-1234 | David Widjaja, MD 1650 Grand Concourse, Bronx, NY 10457-7606 Ph: (718) 960-1234 |
Selina Sultana Zaman, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 718-920-9000 | |
Dr. Jyothi B Kudakandira, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-960-1234 | |
Mana Rao, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 | |
Dr. Keshav Teelucksingh, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 | |
Tannaz Iranpour Boroujeni, M.D Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 617-840-0110 | |
Heather Root, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-8592 Fax: 718-405-0610 | |
Benjamin Tuttle Hayes, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 305 E 161st St, Bronx, NY 10451 Phone: 718-579-2500 Fax: 718-579-2599 |