| Dr Kelly Jean Eberhardt, MD | |
|
556 Central Ave, New Providence, NJ 07974-1563 | |
| (908) 508-0400 | |
| (908) 508-0370 |
| Full Name | Dr Kelly Jean Eberhardt |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 556 Central Ave, New Providence, 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 |
|---|---|---|---|
| 1811027998 | NPI | - | NPPES |
| 02887378 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25MA11978600 (New Jersey) | Secondary |
| 208000000X | Pediatrics | 234824 (New York) | Primary |
| Entity Name | Physicians Of University Hospital Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Advantagecare Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Jean Eberhardt, MD 556 Central Ave, New Providence, NJ 07974-1563 Ph: (908) 508-0400 | Dr Kelly Jean Eberhardt, MD 556 Central Ave, New Providence, NJ 07974-1563 Ph: (908) 508-0400 |
Mr. Steven Moskowitz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 556 Central Ave, New Providence, NJ 07974 Phone: 908-508-0400 Fax: 908-508-0370 | |
Dr. Johanna R. Kaufman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 890 Mountain Ave, New Providence, NJ 07974 Phone: 908-277-8601 Fax: 908-277-8706 | |
Dr. Lorraine Raagas Formanes, DNP, APN, CPNP Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 556 Central Ave, New Providence, NJ 07974 Phone: 908-508-0400 | |
Adrianna Marie Spinelli, APN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 180 South St, New Providence, NJ 07974 Phone: 908-673-7505 Fax: 908-464-4159 | |
Marla Guzman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 890 Mountain Ave, New Providence, NJ 07974 Phone: 908-739-3235 | |
Dr. Kathleen M Cuddihy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 180 South St, New Providence, NJ 07974 Phone: 908-771-9824 Fax: 908-771-9674 |