| Dr Richard I Dicker, MD | |
|
10 Broadway, Denville, NJ 07834-2704 | |
| (973) 625-7734 | |
| (973) 625-4821 |
| Full Name | Dr Richard I Dicker |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 10 Broadway, Denville, 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 |
|---|---|---|---|
| 1154436863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA03883000 (New Jersey) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | MA033883000 (New Jersey) | Primary |
| Entity Name | First Care Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225134695 PECOS PAC ID: 2062407893 Enrollment ID: O20040420000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard I Dicker, MD 1 Sunset Rd, West Caldwell, NJ 07006-6514 Ph: (973) 228-5934 | Dr Richard I Dicker, MD 10 Broadway, Denville, NJ 07834-2704 Ph: (973) 625-7734 |
Charles Robert Bushong Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16 Pocono Rd, Suite 214, Denville, NJ 07834 Phone: 973-627-6129 | |
Dr. Jarrod Michael Kucharski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Pocono Rd, Denville, NJ 07834 Phone: 973-625-6000 | |
Dr. Nora Bea Mann, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 E Main St, Denville, NJ 07834 Phone: 973-625-5090 Fax: 973-625-8006 | |
Dr. Pahirathi E Haran, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 76 Broadway, Ste 200 B, Denville, NJ 07834 Phone: 973-627-3366 Fax: 973-539-5537 | |
Dr. Krekamey Craig, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 E Main St, Denville, NJ 07834 Phone: 973-625-5090 Fax: 973-635-8006 | |
Dr. Richard Elepano, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Pocono Rd, Denville, NJ 07834 Phone: 973-625-6000 | |
Melissa Jane Connolly, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16 Pocono Rd, Denville, NJ 07834 Phone: 973-627-3765 |