| Dr Domenica Alexandra Fantini, DO | |
|
665 Martinsville Rd, Suite 218, Basking Ridge, NJ 07920-4700 | |
| (908) 607-1877 | |
| (908) 607-1866 |
| Full Name | Dr Domenica Alexandra Fantini |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 665 Martinsville Rd, Basking Ridge, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548609464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB09772000 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Patient Care | Clifton, NJ | Home health agency |
| Community Vna | Somerville, NJ | Home health agency |
| Grace Healthcare Services Llc | Edison, NJ | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Care Group, Llc | 8628309382 | 2 |
| Entity Name | Primary Care Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609421841 PECOS PAC ID: 8628309382 Enrollment ID: O20191010000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Domenica Alexandra Fantini, DO Po Box 95000 Lb# 7550, Philadelphia, PA 19195-7550 Ph: (844) 362-1735 | Dr Domenica Alexandra Fantini, DO 665 Martinsville Rd, Suite 218, Basking Ridge, NJ 07920-4700 Ph: (908) 607-1877 |
Sofia R Fernandez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 137 Smithfield Court, Basking Ridge, NJ 07920 Phone: 908-803-9985 | |
Joseph Morandi, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 Martinsville Rd, Suite 218, Basking Ridge, NJ 07920 Phone: 908-607-1877 Fax: 908-607-1866 | |
Dr. Gregory Frederick Dimesa, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Lyons Rd., Lyons Mall Suite 101, Basking Ridge, NJ 07920 Phone: 908-373-2688 | |
Joseph S Lee, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 48 Juniper Way, Basking Ridge, NJ 07920 Phone: 908-340-4163 | |
Beth Anne Kaplan, A-GNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 Morristown Rd, Basking Ridge, NJ 07920 Phone: 999-999-9999 | |
Mr. Sergiusz I Kaftal, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 N Finley Ave # 207, Basking Ridge, NJ 07920 Phone: 908-766-1223 |