| Dr Paul V Sunkavalli, MEDICAL DOCTOR | |
|
1100 Route 72 W Ste 304, Manahawkin, NJ 08050-2475 | |
| (609) 978-3910 | |
| (609) 978-3912 |
| Full Name | Dr Paul V Sunkavalli |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1100 Route 72 W Ste 304, 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 |
|---|---|---|---|
| 1841288495 | NPI | - | NPPES |
| 0067016 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25MA07784500 (New Jersey) | Primary |
| Entity Name | Hackensack Meridian Health Medical Group - Primary Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336203538 PECOS PAC ID: 7911003330 Enrollment ID: O20070502000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul V Sunkavalli, MEDICAL DOCTOR 1100 Route 72 W Ste 304, Manahawkin, NJ 08050-2475 Ph: (609) 978-3910 | Dr Paul V Sunkavalli, MEDICAL DOCTOR 1100 Route 72 W Ste 304, Manahawkin, NJ 08050-2475 Ph: (609) 978-3910 |
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. Michael Ira Bleiman, MEDICAL DOCTOR Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1100 Route 72 W, Suite 304, Manahawkin, NJ 08050 Phone: 609-978-9639 Fax: 609-978-9685 |