| Dr Jorge Gustavo Pardes, MD | |
|
300 2nd Ave, Long Branch, NJ 07740-6303 | |
| (732) 923-7700 | |
| (732) 923-7710 |
| Full Name | Dr Jorge Gustavo Pardes |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 300 2nd Ave, Long Branch, 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 |
|---|---|---|---|
| 1457349011 | NPI | - | NPPES |
| 0844459 | Medicaid | PA | |
| 483261 | Other | PA | PA BLUE SHIELD |
| 0014226300005 | Medicaid | PA | |
| 0149420 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD049953L (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA08326800 (New Jersey) | Primary |
| Entity Name | Lourdes Imaging Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952330599 PECOS PAC ID: 2264480235 Enrollment ID: O20050107000262 |
| Entity Name | Larchmont Imaging Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710932603 PECOS PAC ID: 5193762433 Enrollment ID: O20050408000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jorge Gustavo Pardes, MD Po Box 8000, Dept 601, Buffalo, NY 14267-0002 Ph: (866) 295-0041 | Dr Jorge Gustavo Pardes, MD 300 2nd Ave, Long Branch, NJ 07740-6303 Ph: (732) 923-7700 |
Dr. Leizle Talangbayan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave, Department Of Radiology, Long Branch, NJ 07740 Phone: 732-923-6806 Fax: 732-923-6006 | |
Dr. Walter Rose, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 279 3rd Ave, Suite 403, Long Branch, NJ 07740 Phone: 732-222-7676 Fax: 732-229-1863 | |
Dr. Alexander B King, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Monmouth Medical Center, 300 Second Ave, Long Branch, NJ 07740 Phone: 732-923-7700 | |
Syed Hussain, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave, Radiology, Long Branch, NJ 07740 Phone: 732-923-6806 | |
Dr. Kathleen L Mcdonald, MD Radiology Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-390-0040 Fax: 732-955-8874 | |
Dr. Daniel John Smuro, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 279 3rd Ave, 403, Long Branch, NJ 07740 Phone: 732-222-7676 Fax: 732-229-1863 | |
Dr. Jennifer Keedy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave, Monmouth Medical Center, Long Branch, NJ 07740 Phone: 732-923-7700 Fax: 732-923-7710 |