| Diane M Ridley, MD | |
|
1020 Thompson St, Jersey Shore, PA 17740-1729 | |
| (570) 398-5131 | |
| (570) 398-3195 |
| Full Name | Diane M Ridley |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 1020 Thompson St, Jersey Shore, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588643746 | NPI | - | NPPES |
| P00953293 | Other | NJ | RR MCR PTAN |
| 0077640 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA07775800 (New Jersey) | Secondary |
| 207L00000X | Anesthesiology | 202042 (New York) | Secondary |
| 207L00000X | Anesthesiology | MD477014 (Pennsylvania) | Primary |
| Entity Name | Rutgers Health-rwj Anesthesiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861414989 PECOS PAC ID: 2264346493 Enrollment ID: O20031113000072 |
| Entity Name | University Physician Associates Of New Jersey Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225048820 PECOS PAC ID: 9830003417 Enrollment ID: O20040312000108 |
| Entity Name | Anesthesia Associates Of Morristown Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922057678 PECOS PAC ID: 7315906591 Enrollment ID: O20041004000993 |
| Entity Name | Roxbury Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609926971 PECOS PAC ID: 4385743228 Enrollment ID: O20070619000180 |
| Entity Name | Allied Digestive Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265831259 PECOS PAC ID: 5991027583 Enrollment ID: O20141210001569 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane M Ridley, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Diane M Ridley, MD 1020 Thompson St, Jersey Shore, PA 17740-1729 Ph: (570) 398-5131 |
Muhammad Anwar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-5131 Fax: 570-398-3195 | |
Anthony T Wang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-5131 | |
Dr. John Alvaro Hunter, DDS Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-0100 |