Dr Owobamishola Shonowo, MD | |
565 New Brunswick Ave, Fords, NJ 08863-2162 | |
(848) 203-3520 | |
(848) 203-3627 |
Full Name | Dr Owobamishola Shonowo |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 565 New Brunswick Ave, Fords, 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 |
---|---|---|---|
1114966157 | NPI | - | NPPES |
274327299 | Other | NJ | TAX ID# |
7546474 | Other | NJ | AETNA PPO ID # |
P3653473 | Other | NJ | OXFORD ID # |
1118997 | Other | NJ | AETNA HMO ID # |
2678996000 | Other | NJ | AMERIHEALTH # |
8223752 | Other | NJ | GHI PPO # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 25MA07930600 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Entity Name | Raritan Bay Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306954243 PECOS PAC ID: 6204820574 Enrollment ID: O20041105000457 |
Entity Name | Meridian Medical Group-specialty Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942362587 PECOS PAC ID: 6507962206 Enrollment ID: O20070425000673 |
Mailing Address | Practice Location Address |
---|---|
Dr Owobamishola Shonowo, MD 565 New Brunswick Ave, Fords, NJ 08863 Ph: (848) 203-3520 | Dr Owobamishola Shonowo, MD 565 New Brunswick Ave, Fords, NJ 08863-2162 Ph: (848) 203-3520 |
Eumena Divino, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 390 New Brunswick Ave, Fords, NJ 08863 Phone: 732-738-4260 Fax: 732-738-5693 | |
Dr. Steven Goldberg, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 390 New Brunswick Ave, Fords, NJ 08863 Phone: 732-738-4260 |