| Dr Jason Mack, MD | |
|
1901 1st Ave, Dept Of Pediatrics Room 523, New York, NY 10029-7404 | |
| (212) 423-6228 | |
| Not Available |
| Full Name | Dr Jason Mack |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1901 1st Ave, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346390044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 178505 (New York) | Primary |
| Entity Name | Metropolitan Medical Practice Plan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
| 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 Jason Mack, MD 253 W 123rd St, New York, NY 10027-5429 Ph: (212) 423-6228 | Dr Jason Mack, MD 1901 1st Ave, Dept Of Pediatrics Room 523, New York, NY 10029-7404 Ph: (212) 423-6228 |
Dr. Robert Michael Lembo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave, New York, NY 10016 Phone: 212-263-6425 |
Dr. Sean Michael Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 1st Ave, Suite 7a, New York, NY 10016 Phone: 212-263-7477 |
Dr. Nooralam Ahmad Rai, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3959 Broadway # Chc701, New York, NY 10032 Phone: 212-305-5122 Fax: 212-305-6103 |
Yue Christine Lu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-6911 |
Dr. Sarah Grace Keller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-5454 |
Dr. Adam Aponte Sr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 Water St, New York, NY 10038 Phone: 646-815-4580 |
Robert Mitchell Angert, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-7477 Fax: 646-754-7530 |