| Dr Cherbrale Lanette Hickman, DO | |
|
1 Robert Wood Johnson Pl, Meb 312, New Brunswick, NJ 08901-1928 | |
| (816) 547-6223 | |
| Not Available |
| Full Name | Dr Cherbrale Lanette Hickman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1 Robert Wood Johnson Pl, New Brunswick, 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 |
|---|---|---|---|
| 1093045973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25MB08690800 (New Jersey) | Primary |
| Entity Name | Coney Island Medical Practice Plan, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
| Entity Name | Physician Affiliate Group Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cherbrale Lanette Hickman, DO 102 Royal Ct, Somerset, NJ 08873-4667 Ph: (816) 547-6223 | Dr Cherbrale Lanette Hickman, DO 1 Robert Wood Johnson Pl, Meb 312, New Brunswick, NJ 08901-1928 Ph: (816) 547-6223 |
Dr. I. Mark Hiatt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 254 Easton Ave, New Brunswick, NJ 08901 Phone: 732-745-8600 Fax: 732-249-9572 | |
Lynne Weiss, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 French Street, Suite 2300, New Brunswick, NJ 08901 Phone: 732-235-6230 Fax: 732-235-6620 | |
Margaret Masterson, Pediatrics Medicare: Medicare Enrolled Practice Location: 195 Little Albany St, New Brunswick, NJ 08901 Phone: 732-235-6455 Fax: 732-235-6462 | |
Lisanne Hauck, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901 Phone: 732-235-7900 | |
Daniel Notterman, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901 Phone: 732-235-7900 | |
Minh-tu Do, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, Meb 342, New Brunswick, NJ 08901 Phone: 732-235-7893 Fax: 732-235-9340 | |
Christoph Ohngemach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 254 Easton Ave, New Brunswick, NJ 08901 Phone: 732-745-8600 Fax: 732-745-8725 |