| Dr Martin David Pelavin, MD | |
|
215 Old Tappan Road, Old Tappan, NJ 07675 | |
| (201) 666-1000 | |
| (201) 666-4108 |
| Full Name | Dr Martin David Pelavin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 215 Old Tappan Road, Old Tappan, 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 |
|---|---|---|---|
| 1386758217 | NPI | - | NPPES |
| 4250316 | Other | AETNA | |
| 998607 | Other | REFERRAL | |
| 1819727 | Other | UNITEDHLTHCR | |
| 18362 | Other | MASTERCARE | |
| 221941517003 | Other | PRUDENTIAL | |
| 294071 | Other | EMPIRE HLTHCR | |
| 4727908 | Medicaid | NJ | |
| BP028 | Other | OXFORD | |
| F01394 | Other | HEALTHNET | |
| 6445171002 | Other | CIGNA | |
| 221941517 | Other | HORIZON BCBS | |
| 80599 | Other | AMERIGROUP | |
| 010033112NJ01 | Other | ANTHEM HEALTH | |
| 13336 | Other | USHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA03311200 (New Jersey) | Primary |
| Entity Name | Medical Associates Of Englewood Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin David Pelavin, MD 215 Old Tappan Road, Old Tappan, NJ 07675 Ph: (201) 666-1000 | Dr Martin David Pelavin, MD 215 Old Tappan Road, Old Tappan, NJ 07675 Ph: (201) 666-1000 |
Dr. Arthur Robert De Siimone, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5 Corrigan Way, Old Tappan, NJ 07675 Phone: 201-767-1443 | |
Eirum Chaudhri, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Stewart Ct, Old Tappan, NJ 07675 Phone: 201-750-1573 | |
Mr. James Edward Buirkle, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Old Tappan Rd, Old Tappan, NJ 07675 Phone: 201-666-1000 Fax: 201-666-7610 | |
Stephen G Varhol, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 Old Tappan Road, Old Tappan, NJ 07675 Phone: 201-666-1000 Fax: 201-666-7610 | |
Diane C Schwartz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Old Tappan Road, Old Tappan, NJ 07675 Phone: 201-666-1000 |