| Dr Sanjay K Jain, MD | |
|
Panther Valley Mall, Bldg B, Route 517, Hackettstown, NJ 07840 | |
| (908) 852-0107 | |
| (908) 850-9160 |
| Full Name | Dr Sanjay K Jain |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | Panther Valley Mall, Bldg B, Route 517, Hackettstown, 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 |
|---|---|---|---|
| 1063455780 | NPI | - | NPPES |
| 1975102 | Medicaid | NJ | |
| 00918130 | Medicaid | NY | |
| 1K1812 | Other | COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA42351 (New Jersey) | Primary |
| Entity Name | Longevity Healthcare Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487395091 PECOS PAC ID: 8123401478 Enrollment ID: O20220818002245 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sanjay K Jain, MD Panther Valley Mall, Bldg B, Route 517, Hackettstown, NJ 07840 Ph: (908) 852-0107 | Dr Sanjay K Jain, MD Panther Valley Mall, Bldg B, Route 517, Hackettstown, NJ 07840 Ph: (908) 852-0107 |
Dr. Boris Freyman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: Panther Valley Mall, Bldg B, Route 517, Hackettstown, NJ 07840 Phone: 908-362-8866 Fax: 908-850-9160 | |
Ms. Guerdie G Nonez, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 Catswamp Rd, Hackettstown, NJ 07840 Phone: 908-499-2217 | |
Dr. Wendelyn Lee Waters, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5 Hastings Square Mall, Schooley's Mountain Rd, Hackettstown, NJ 07840 Phone: 908-979-0050 | |
Dr. Robyn L Russ-meek, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 57 Rte 46, Hackettstown, NJ 07840 Phone: 908-813-9788 Fax: 908-813-9782 | |
Dr. Victor Catania, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 57 Route 46 Ste 100, Hackettstown, NJ 07840 Phone: 908-598-7980 Fax: 908-852-4185 | |
Dr. John C Murphy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 57 Route 46 Ste 100, Hackettstown, NJ 07840 Phone: 908-598-7980 Fax: 908-852-4185 |