| Dr Bethany Desroches, MD, MS | |
|
360 Essex St Ste 403, Hackensack, NJ 07601-8566 | |
| (551) 996-2667 | |
| Not Available |
| Full Name | Dr Bethany Desroches |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 360 Essex St Ste 403, Hackensack, 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 |
|---|---|---|---|
| 1982015020 | NPI | - | NPPES |
| BP10050157 | Other | TX | TEXAS MEDICAL BOARD |
| 25MA10578000 | Other | NJ | NJ MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | BP10050157 (Texas) | Secondary |
| 208800000X | Urology | 25MA10578000 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bethany Desroches, MD, MS 360 Essex St Ste 403, Hackensack, NJ 07601-8566 Ph: (551) 996-2667 | Dr Bethany Desroches, MD, MS 360 Essex St Ste 403, Hackensack, NJ 07601-8566 Ph: (551) 996-2667 |
Dr. Nitin Kumar Yerram, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St Ste 403, Hackensack, NJ 07601 Phone: 551-996-8224 | |
Dr. Gene S Rosenberg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 20 Prospect Ave, Suite 915, Hackensack, NJ 07601 Phone: 201-343-0082 Fax: 201-488-1203 | |
Dr. Ihor Sawczuk, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St, Hackensack, NJ 07601 Phone: 201-336-8090 Fax: 201-336-8221 | |
Dr. Richard A Watson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St, Suite 403, Hackensack, NJ 07601 Phone: 201-336-8624 Fax: 201-336-8221 | |
David Shin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St, Suite 403, Hackensack, NJ 07601 Phone: 551-996-8090 Fax: 551-996-8221 | |
Michelle J Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St, Dept Of Urology, Hackensack, NJ 07601 Phone: 201-336-8224 | |
Michael Stifelman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St Ste 403, Hackensack, NJ 07601 Phone: 551-996-8090 Fax: 551-996-8221 |