| Dr Jeremy Abraham Dominik, MD | |
|
30 Prospect Ave, Hackensack, NJ 07601-1915 | |
| (551) 996-2419 | |
| Not Available |
| Full Name | Dr Jeremy Abraham Dominik |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 18 Years |
| Location | 30 Prospect Ave, Hackensack, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679778823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 255156 (New York) | Secondary |
| 207L00000X | Anesthesiology | 25MA08914300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Westchester Medical Center | Valhalla, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Westchester Medical Center Advanced Physician Services Pc | 3173660776 | 745 |
| Entity Name | Westchester Medical Center Advanced Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Abraham Dominik, MD 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: (551) 996-2419 | Dr Jeremy Abraham Dominik, MD 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: (551) 996-2419 |
Mr. Philip Ofosu Eck, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave Ste 2703, Hackensack, NJ 07601 Phone: 551-996-2419 Fax: 551-996-3962 | |
Ms. Somdatta Gupta, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 973-216-7796 | |
Michael E Cullen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 201-488-0066 Fax: 201-488-6769 | |
William P Brotherton, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 140 Prospect Ave, Suite 8, Hackensack, NJ 07601 Phone: 201-488-0066 Fax: 201-488-6769 | |
Steven Alan Topfer, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 201-488-0066 Fax: 201-488-6769 | |
Stephen M Weitzman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Prospect Ave, 4f, Hackensack, NJ 07601 Phone: 201-487-8557 | |
Angela Lee, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave Ste 2703, Hackensack, NJ 07601 Phone: 551-996-2419 |