| Dr Michael Ira Bleiman, MEDICAL DOCTOR | |
|
1100 Route 72 W, Suite 304, Manahawkin, NJ 08050-2468 | |
| (609) 978-9639 | |
| (609) 978-9685 |
| Full Name | Dr Michael Ira Bleiman |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1100 Route 72 W, Manahawkin, 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 |
|---|---|---|---|
| 1821086463 | NPI | - | NPPES |
| 6947107 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25MA06787800 (New Jersey) | Primary |
| Entity Name | Atlanticare Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
| Entity Name | Atlanticare Urgent Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083991616 PECOS PAC ID: 3971770959 Enrollment ID: O20120113000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Ira Bleiman, MEDICAL DOCTOR 346 S Lakeshore Dr, Manahawkin, NJ 08050-2923 Ph: (609) 709-9121 | Dr Michael Ira Bleiman, MEDICAL DOCTOR 1100 Route 72 W, Suite 304, Manahawkin, NJ 08050-2468 Ph: (609) 978-9639 |
Dr. Moses F Olorunnisola Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1140 Route 72 W, Manahawkin, NJ 08050 Phone: 609-597-6405 | |
Dr. Paul V Sunkavalli, MEDICAL DOCTOR Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Route 72 W Ste 304, Manahawkin, NJ 08050 Phone: 609-978-3910 Fax: 609-978-3912 |