| Dr Shiveindra B Jeyamohan, MD | |
|
1680 Route 23 Ste 250, Wayne, NJ 07470-7520 | |
| (973) 633-1122 | |
| (973) 832-7550 |
| Full Name | Dr Shiveindra B Jeyamohan |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 1680 Route 23 Ste 250, Wayne, 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 |
|---|---|---|---|
| 1528201118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | MD60544491 (Washington) | Secondary |
| 207T00000X | Neurological Surgery | 25MA10821200 (New Jersey) | Primary |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shiveindra B Jeyamohan, MD 93 Leonard St Apt 3, New York, NY 10013-3458 Ph: (609) 575-3698 | Dr Shiveindra B Jeyamohan, MD 1680 Route 23 Ste 250, Wayne, NJ 07470-7520 Ph: (973) 633-1122 |
David C Sundstrom, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1680 State Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550 | |
Rajnik W Raab, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550 | |
Angel Gabriel Chinea Vicente, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 Route 23, Wayne, NJ 07470 Phone: 973-633-1122 |