| Dr Theodore Ende, DO | |
|
422 West Lacey Road, Forked River, NJ 08731-2518 | |
| (609) 693-1992 | |
| (609) 971-3199 |
| Full Name | Dr Theodore Ende |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 422 West Lacey Road, Forked River, 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 |
|---|---|---|---|
| 1093722480 | NPI | - | NPPES |
| 0659703 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB03165000 (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 Theodore Ende, DO 501 Route 9, Waretown, NJ 08758-1743 Ph: (609) 693-1992 | Dr Theodore Ende, DO 422 West Lacey Road, Forked River, NJ 08731-2518 Ph: (609) 693-1992 |
Dr. Nina Lapidario Tubilleja, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 Penn Ave, Forked River, NJ 08731 Phone: 609-971-9392 Fax: 609-971-8232 |
Dr. Agnieszka Palecki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Lacey Rd Ste G-07, Forked River, NJ 08731 Phone: 609-339-2003 Fax: 609-339-2016 |
Dr. Peter Bhiro, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 949 W Lacey Rd, Ste C4, Forked River, NJ 08731 Phone: 609-693-8690 Fax: 609-693-8691 |
Byung H Yu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 765 Lacey Rd, Forked River, NJ 08731 Phone: 609-693-5500 Fax: 609-693-4329 |
Sayeed B Aziz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Lacey Rd Ste G-07, Forked River, NJ 08731 Phone: 609-339-2003 Fax: 609-339-2016 |
Jeffrey M. Lipper, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Lacey Rd Ste G-07, Forked River, NJ 08731 Phone: 609-339-2003 Fax: 609-339-2016 |
Danna Glore Michelle Dela Cruz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 731 Lacey Road, Suite 1, Forked River, NJ 08731 Phone: 609-242-0040 Fax: 609-242-8119 |