| Dr Mina Fam, MD | |
|
446 Jack Martin Blvd, Brick, NJ 08724 | |
| (732) 840-4300 | |
| Not Available |
| Full Name | Dr Mina Fam |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 14 Years |
| Location | 446 Jack Martin Blvd, Brick, 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 |
|---|---|---|---|
| 1659661338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD458335 (Pennsylvania) | Secondary |
| 208800000X | Urology | 25MA10319400 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hackensack Meridian Health At Home Ocean County | Brick, NJ | Home health agency |
| Jersey Shore University Medical Center | Neptune, NJ | Hospital |
| Ocean Medical Center | Brick, NJ | Hospital |
| Jfk Medical Center | Edison, NJ | Hospital |
| Bayshore Medical Center | Holmdel, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Urology Associates Enterprises | 5698184927 | 18 |
| Entity Name | Advanced Urology Associates Enterprises |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144834532 PECOS PAC ID: 5698184927 Enrollment ID: O20210517002008 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mina Fam, MD 446 Jack Martin Blvd, Brick, NJ 08724-7733 Ph: (732) 840-4300 | Dr Mina Fam, MD 446 Jack Martin Blvd, Brick, NJ 08724 Ph: (732) 840-4300 |
Dr. Carrie L Fitzgerald, DO MPH Urology Medicare: Accepting Medicare Assignments Practice Location: 446 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-4300 Fax: 732-840-4515 | |
Daniel Todd Burzon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 446 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-4300 Fax: 732-840-4515 | |
Charles Edward Bellingham, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 224 Jack Martin Blvd, Suite E4, Brick, NJ 08724 Phone: 732-840-4300 Fax: 732-840-4515 | |
Gary Charles Linn, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 446 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-4300 Fax: 732-840-4515 | |
James E Rotolo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1696 Route 88, Brick, NJ 08724 Phone: 732-903-7655 Fax: 732-903-7622 | |
John Robert Chapman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 446 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-4300 Fax: 732-840-4515 |