| Dr Mamatha Ramesh Gowda, MD | |
|
308 Willow Ave, Radiology Department, Hoboken, NJ 07030-3808 | |
| (201) 418-1820 | |
| (201) 418-1822 |
| Full Name | Dr Mamatha Ramesh Gowda |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 308 Willow Ave, Hoboken, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881630671 | NPI | - | NPPES |
| 0060551 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA07771900 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Sinai Hospital | New york, NY | Hospital |
| Mount Sinai St Luke's Roosevelt Hospital | New york, NY | Hospital |
| Mount Sinai Beth Israel | New york, NY | Hospital |
| Mount Sinai South Nassau | Oceanside, NY | Hospital |
| Maimonides Medical Center | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icahn School Of Medicine At Mount Sinai | 2264691070 | 2587 |
| Fpa Hospital Based | 4789826694 | 361 |
| 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 | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487912416 PECOS PAC ID: 2264691070 Enrollment ID: O20120925000424 |
| Entity Name | Fpa Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mamatha Ramesh Gowda, MD 10335 N Port Washington Rd, Suite 250, Mequon, WI 53092-5763 Ph: (262) 240-9870 | Dr Mamatha Ramesh Gowda, MD 308 Willow Ave, Radiology Department, Hoboken, NJ 07030-3808 Ph: (201) 418-1820 |
Dr. Edgardo V. Reynoso, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Manuel Casuga Aragones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Feng Tao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Seyed-ali Mousavi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Hussein Matari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 308 Willow Avenue, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Lawrence Gould, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Shashikant Gordhandas Chandarana, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Avenue, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 |