| Dr Gregory Michael Fernandes, MD, | |
|
St Marys Hospital, 211 Pennington Ave, Passaic, NJ 07055 | |
| (973) 470-3095 | |
| (973) 470-3568 |
| Full Name | Dr Gregory Michael Fernandes |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | St Marys Hospital, Passaic, 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 |
|---|---|---|---|
| 1417012337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25MA03967600 (New Jersey) | Primary |
| Entity Name | Mario Gonzalez, Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942498985 PECOS PAC ID: 3779509641 Enrollment ID: O20051020000084 |
| Entity Name | Pathlink Of New Jersey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538821327 PECOS PAC ID: 0446641245 Enrollment ID: O20220106000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Michael Fernandes, MD, 8 Huff Rd, Wayne, NJ 07470-2932 Ph: (973) 696-1140 | Dr Gregory Michael Fernandes, MD, St Marys Hospital, 211 Pennington Ave, Passaic, NJ 07055 Ph: (973) 470-3095 |
Dr. Ghassan G. Bassil, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4470 Fax: 973-473-3367 | |
Farhad Setoodeh, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4565 | |
Margaret Elizabeth Lawless, Pathology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 Fax: 855-799-0849 | |
Nellie Buracan Pineda, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4565 |