| Dr Stavros George Christoudias, MD | |
|
741 Teaneck Rd, Suite B, Teaneck, NJ 07666-4243 | |
| (201) 833-2888 | |
| (201) 833-1010 |
| Full Name | Dr Stavros George Christoudias |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 18 Years |
| Location | 741 Teaneck Rd, Teaneck, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679710875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25MA08710300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Hospital | Ridgewood, NJ | Hospital |
| Chilton Medical Center | Pompton plains, NJ | Hospital |
| Holy Name Medical Center | Teaneck, NJ | Hospital |
| Hackensack Meridian Health Pascack Valley Medical | Westwood, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heritage Surgical Group, Llc | 4789909367 | 2 |
| Entity Name | Heritage Surgical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346674090 PECOS PAC ID: 4789909367 Enrollment ID: O20150203001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stavros George Christoudias, MD 741 Teaneck Rd, Suite B, Teaneck, NJ 07666-4243 Ph: (201) 833-2888 | Dr Stavros George Christoudias, MD 741 Teaneck Rd, Suite B, Teaneck, NJ 07666-4243 Ph: (201) 833-2888 |
Dr. David Radvinsky, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 741 Teaneck Rd Ste B, Teaneck, NJ 07666 Phone: 201-833-2888 Fax: 201-833-1010 | |
Dr. Lynette Maria Mendoza, M.S., D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-3357 Fax: 201-541-5972 | |
Dr. Omar Ezequiel Bellorin Marin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-3444 Fax: 201-808-9430 | |
Ngoc L Thai, MD Surgery Medicare: Medicare Enrolled Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-7110 | |
Steven Y Tennenbaum, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 699 Teaneck Rd, Room 103, Teaneck, NJ 07666 Phone: 201-692-9550 Fax: 201-692-1363 | |
Sung Kwon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Surgical Oncology, Teaneck, NJ 07666 Phone: 201-541-5989 Fax: 201-227-6002 | |
Dr. George Christos Christoudias, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 741 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-2888 Fax: 201-833-1010 |