| Dr Joseph E Enriquez, MD | |
|
416 Bellevue Ave, Ste. 104, Trenton, NJ 08618-4513 | |
| (609) 396-4700 | |
| Not Available |
| Full Name | Dr Joseph E Enriquez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 416 Bellevue Ave, Trenton, 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 |
|---|---|---|---|
| 1801909247 | NPI | - | NPPES |
| 3620301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 60625 (Arizona) | Primary |
| 207L00000X | Anesthesiology | 05198600 (New Jersey) | Secondary |
| Entity Name | Kingman Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph E Enriquez, MD 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 757-2101 | Dr Joseph E Enriquez, MD 416 Bellevue Ave, Ste. 104, Trenton, NJ 08618-4513 Ph: (609) 396-4700 |
Sajida Ahmad, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 416 Bellevue Ave, Ste 104, Trenton, NJ 08618 Phone: 609-396-4700 | |
Xiaoli He, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 416 Bellevue Ave, Ste 104, Trenton, NJ 08618 Phone: 609-396-4700 | |
Slobodan Grujic, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 416 Bellevue Ave, Suite 104, Trenton, NJ 08618 Phone: 609-396-4700 | |
Lisa Ann Cortese, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 601 Hamilton Ave, Trenton, NJ 08629 Phone: 609-599-5097 Fax: 609-599-6312 | |
Joaquin Cantillo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 Bellevue Ave, Ste 104, Trenton, NJ 08618 Phone: 609-396-4700 | |
Perry Loesberg, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 601 Hamilton Ave, Trenton, NJ 08629 Phone: 609-599-5097 Fax: 609-599-6312 | |
Mahendra Shah, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 416 Bellevue Ave, Ste 104, Trenton, NJ 08618 Phone: 609-396-4700 |