| Dr Mario Anibal Mancheno, MD | |
|
422 Grand Street, Hoboken, NJ 07030 | |
| (201) 656-8743 | |
| (201) 319-0867 |
| Full Name | Dr Mario Anibal Mancheno |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 422 Grand Street, Hoboken, 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 |
|---|---|---|---|
| 1417041013 | NPI | - | NPPES |
| 3939707 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25MA03336800 (New Jersey) | Primary |
| Entity Name | G&s Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982982336 PECOS PAC ID: 0244404697 Enrollment ID: O20111121000313 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mario Anibal Mancheno, MD 422 Grand Street, Hoboken, NJ 07030 Ph: (201) 656-8743 | Dr Mario Anibal Mancheno, MD 422 Grand Street, Hoboken, NJ 07030 Ph: (201) 656-8743 |
Dr. Joseph S Raccuia, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 228 Park Ave, Hoboken, NJ 07030 Phone: 917-349-0537 Fax: 646-952-7741 | |
Dr. Dean Richard Cerio, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 79 Hudson St, Suite 700, Hoboken, NJ 07030 Phone: 201-449-1000 Fax: 201-399-2433 | |
Shannan Rae Ferrari, PA-C Surgery Medicare: Not Enrolled in Medicare Practice Location: 1025 Maxwell Ln, Hoboken, NJ 07030 Phone: 551-239-1770 | |
Elizabeth Verduzco, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 14th St, Hoboken, NJ 07030 Phone: 201-795-8596 |