| Dr Lavinia Paige Moeller, DO | |
| 323 Belleville Avenue, Bloomfield, NJ 07003 | |
| (973) 429-1010 | |
| (973) 429-1199 | 
| Full Name | Dr Lavinia Paige Moeller | 
|---|---|
| Gender | Female | 
| Speciality | Surgery | 
| Location | 323 Belleville Avenue, Bloomfield, 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 | 
|---|---|---|---|
| 1417069931 | NPI | - | NPPES | 
| 8289701 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | MB69110 (New Jersey) | Primary | 
| Entity Name | Central Avenue Professional Services, Pc | 
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) | 
| Entity Identifiers | NPI Number: 1447649694 PECOS PAC ID: 7214258003 Enrollment ID: O20150604002544 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lavinia Paige Moeller, DO 27 Knoll Terrace, West Caldwell, NJ 07006-7307 Ph: (973) 575-4339 | Dr Lavinia Paige Moeller, DO 323 Belleville Avenue, Bloomfield, NJ 07003 Ph: (973) 429-1010 | 
| Dr. Marius Liviu Calin, M.D. FACS FASMBS Surgery Medicare: Accepting Medicare Assignments Practice Location: 56 Broad St Apt 411, Bloomfield, NJ 07003 Phone: 917-853-2781 Fax: 917-261-3303 | |
| Dr. Padmavathy Alli, D.O Surgery Medicare: Not Enrolled in Medicare Practice Location: 557 Broad St, Suite 22, Bloomfield, NJ 07003 Phone: 973-429-9844 Fax: 973-429-9858 | |
| Dr. Guillermo Punzalan Narvaez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003 Phone: 973-743-3556 Fax: 973-743-3895 |