| Dr Thomas M Niedbala, MD | |
|
100 Carnie Blvd, Suite B-5, Voorhees, NJ 08043-4512 | |
| (856) 751-0123 | |
| (856) 751-0535 |
| Full Name | Dr Thomas M Niedbala |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 100 Carnie Blvd, Voorhees, 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 |
|---|---|---|---|
| 1851390223 | NPI | - | NPPES |
| 4603401 | Medicaid | NJ | |
| A3738029 | Other | OXFORD HEALTH | |
| NI747400 | Other | PREMIER BLUE | |
| 1388808 | Other | UNITED HEALTHCARE | |
| 0656838000 | Other | AMERIHEALTH | |
| 300069412 | Other | RAILROAD MEDICARE | |
| 0733044 | Other | AETNA | |
| 1089830 | Other | HORIZON NJ HEALTH | |
| NI747400 | Other | HIGHMARK PA BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA05934400 (New Jersey) | Primary |
| Entity Name | South Jersey Radiology Associates, P.a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477551653 PECOS PAC ID: 9133115587 Enrollment ID: O20040422000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas M Niedbala, MD Po Box 1710, South Jersey Radiology Associates, Pa, Voorhees, NJ 08043-7710 Ph: (856) 770-0504 | Dr Thomas M Niedbala, MD 100 Carnie Blvd, Suite B-5, Voorhees, NJ 08043-4512 Ph: (856) 751-0123 |
Dr. Onowenerhi Benedictta Omene, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Carnie Blvd Ste B5, Voorhees, NJ 08043 Phone: 888-909-7572 | |
Dr. Neil R Kramer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Carnie Blvd, Voorhees, NJ 08043 Phone: 856-751-0123 Fax: 856-751-0535 | |
Dr. David H Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Carnie Blvd, South Jersey Radiology Associates, Pa Suite B-5, Voorhees, NJ 08043 Phone: 856-751-0123 Fax: 856-751-0535 | |
Dr. Mark Delaurentis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Carnie Blvd, Suite B-5, Voorhees, NJ 08043 Phone: 856-751-0123 Fax: 856-751-0535 | |
Dr. Vicente R Limcaoco, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Carnie Blvd, Ste B-5, Voorhees, NJ 08043 Phone: 856-751-0123 Fax: 856-751-0535 | |
Dr. William F Muhr, MD Radiology Medicare: Medicare Enrolled Practice Location: 100 Carnie Blvd, Suite B-5, Voorhees, NJ 08043 Phone: 856-751-0123 Fax: 856-751-0535 | |
Andrew R Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Carnie Blvd Ste B5, Voorhees, NJ 08043 Phone: 888-909-7572 |