| Dr Andrew Donguk Nam, MD | |
|
1608 Lemoine Ave Ste 203, Fort Lee, NJ 07024-5636 | |
| (201) 944-8400 | |
| Not Available |
| Full Name | Dr Andrew Donguk Nam |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 12 Years |
| Location | 1608 Lemoine Ave Ste 203, Fort Lee, 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 |
|---|---|---|---|
| 1407291867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 25MA10392300 (New Jersey) | Primary |
| 207L00000X | Anesthesiology | 25MA10392300 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hackensack University Medical Center | Hackensack, NJ | Hospital |
| Englewood Hospital And Medical Center | Englewood, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Valley Anesthesiology Pa | 0749194868 | 83 |
| New Jersey Healthcare Specialists Pc | 2668385253 | 550 |
| Entity Name | New Jersey Healthcare Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
| Entity Name | Northern Valley Anesthesiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245289487 PECOS PAC ID: 0749194868 Enrollment ID: O20031113000519 |
| Entity Name | Morris Avenue Endoscopy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184778060 PECOS PAC ID: 8921074840 Enrollment ID: O20040902000513 |
| Entity Name | Complete Care Pain And Palliative Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952710717 PECOS PAC ID: 5698996999 Enrollment ID: O20141030001907 |
| 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 |
| Entity Name | Hudson Md Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497301998 PECOS PAC ID: 6103240478 Enrollment ID: O20200720001687 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Donguk Nam, MD 350 Engle St, Englewood, NJ 07631-1808 Ph: () - | Dr Andrew Donguk Nam, MD 1608 Lemoine Ave Ste 203, Fort Lee, NJ 07024-5636 Ph: (201) 944-8400 |
Daniel Eskinazi, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Po Box 146, Fort Lee, NJ 07024 Phone: 201-592-7246 | |
Dr. Jayati Basak, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1608 Lemoine Ave, Fort Lee, NJ 07024 Phone: 201-346-1112 |