| Dr Michael Jeffrey Edwards, MD | |
|
350 Boulevard, Passaic, NJ 07055-2840 | |
| (973) 365-4300 | |
| (973) 365-9980 |
| Full Name | Dr Michael Jeffrey Edwards |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 43 Years |
| Location | 350 Boulevard, Passaic, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689644213 | NPI | - | NPPES |
| 1000900 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA04966100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's General Hospital | Passaic, NJ | Hospital |
| Saint Clare's Hospital/ Denville Campus | Denville, NJ | Hospital |
| Saint Michael's Medical Center | Newark, NJ | Hospital |
| Morristown Medical Center | Morristown, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Passaic Imaging Associates Llc | 3072912500 | 5 |
| Northwest Radiology Associates Pa | 4587606728 | 5 |
| Shi Specialists Llc | 7911449558 | 32 |
| Entity Name | Northwest Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356390561 PECOS PAC ID: 4587606728 Enrollment ID: O20050526000887 |
| Entity Name | Passaic Imaging Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245814623 PECOS PAC ID: 3072912500 Enrollment ID: O20210602003258 |
| Entity Name | Shi Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912761917 PECOS PAC ID: 7911449558 Enrollment ID: O20250311003287 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Jeffrey Edwards, MD 935 Allwood Rd, Suite 230, Clifton, NJ 07012-1988 Ph: (973) 365-2750 | Dr Michael Jeffrey Edwards, MD 350 Boulevard, Passaic, NJ 07055-2840 Ph: (973) 365-4300 |
Karina Rua, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 363 Boulevard, Passaic, NJ 07055 Phone: 973-614-1171 | |
Dr. Arvin Jay Adler, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-5088 Fax: 973-365-4448 | |
Dennis Hoon Kwon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 | |
Susan W Rubinoff, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4450 Fax: 973-916-2033 | |
Ronald H. Wachsberg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 40 Belmont Pl, Passaic, NJ 07055 Phone: 973-865-5228 |