| Dr Oluyemisi Modupeore Odugbesan, MD | |
|
94 Old Short Hills Rd, Livingston, NJ 07039-5672 | |
| (973) 322-5000 | |
| Not Available |
| Full Name | Dr Oluyemisi Modupeore Odugbesan |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 20 Years |
| Location | 94 Old Short Hills Rd, Livingston, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073737367 | NPI | - | NPPES |
| 56277237 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35.141249 (Ohio) | Secondary |
| 207L00000X | Anesthesiology | 307759 (New York) | Secondary |
| 207L00000X | Anesthesiology | 51427 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Barnabas Medical Center | Livingston, NJ | Hospital |
| Hackensack University Medical Center | Hackensack, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Jersey Healthcare Specialists Pc | 2668385253 | 550 |
| Rwjbh Observation Associates Llc | 5193137503 | 783 |
| Entity Name | New Jersey Healthcare Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
| Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
| Entity Name | Parkway Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258 |
| Entity Name | Rwjbh Observation Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oluyemisi Modupeore Odugbesan, MD 6175 S Boston Cir, Greenwood Village, CO 80111-5242 Ph: (720) 515-4485 | Dr Oluyemisi Modupeore Odugbesan, MD 94 Old Short Hills Rd, Livingston, NJ 07039-5672 Ph: (973) 322-5000 |
Jacob Joseph Ferguson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000 | |
Dr. Emmanuel Rodriguez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 Fax: 973-322-8165 | |
David Allen Zylberger, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 | |
Gerry C. Fox, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 | |
Jessica P Mahajan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-8945 | |
Dr. Arpita Ghosh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 Fax: 973-322-8165 |