| Dr Victoria Anne Petivan, MD | |
|
100 Sullivan Way, West Trenton, NJ 08628 | |
| (609) 633-1502 | |
| (609) 777-0327 |
| Full Name | Dr Victoria Anne Petivan |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 100 Sullivan Way, West Trenton, 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 |
|---|---|---|---|
| 1457453383 | NPI | - | NPPES |
| 7216203 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA06516700 (New Jersey) | Primary |
| Entity Name | State Of New Jersey Omb Centralized Payroll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467552240 PECOS PAC ID: 6406742592 Enrollment ID: O20050603000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Victoria Anne Petivan, MD 100 Sullivan Way, West Trenton, NJ 08628 Ph: (609) 633-1502 | Dr Victoria Anne Petivan, MD 100 Sullivan Way, West Trenton, NJ 08628 Ph: (609) 633-1502 |
Yoonhee Han, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 Sullivan Way, West Trenton, NJ 08628 Phone: 609-633-1562 Fax: 609-633-8527 | |
Yves Georges Dubois, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 Sullivan Way, West Trenton, NJ 08628 Phone: 609-633-1562 Fax: 609-633-8527 | |
Dr. Elizabeth Anne Hogan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7717 Stuyvesant Ave, Ann Klein Forensic Center, West Trenton, NJ 08628 Phone: 609-633-0916 Fax: 609-633-1030 | |
Suhas Shanbhag, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 Phone: 609-633-1502 | |
Amandeep Kaur Nagra, M.D., MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 301 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 Phone: 609-633-1500 | |
Dr. Aida Rodrigo Nunez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 Sullivan Way, West Trenton, NJ 08628 Phone: 609-633-1562 | |
Jung Hi Lee, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Stuyvesant Ave, West Trenton, NJ 08628 Phone: 609-777-1996 Fax: 609-633-1312 |