| Dr Yogendra R Patel, MD | |
| 903 Forest Ave, Staten Island, NY 10310-2412 | |
| (718) 273-6666 | |
| (718) 816-1043 | 
| Full Name | Dr Yogendra R Patel | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 903 Forest Ave, Staten Island, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922086933 | NPI | - | NPPES | 
| 00298935 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 120705 (New York) | Primary | 
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 | 
| Entity Name | Meridian Medical Group - Specialty Care Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275362105 PECOS PAC ID: 6507962206 Enrollment ID: O20070425000673 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Yogendra R Patel, MD 903 Forest Ave, Staten Island, NY 10310-2412 Ph: (718) 273-6666 | Dr Yogendra R Patel, MD 903 Forest Ave, Staten Island, NY 10310-2412 Ph: (718) 273-6666 | 
| Tomasine Fodera,  Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Clove Rd, Staten Island, NY 10305 Phone: 718-815-8100 | |
| Dr. Frederick Huie, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Harvard Ave, Staten Island, NY 10301 Phone: 718-450-6979 | |
| Maria Fodera,  Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Clove Rd, Staten Island, NY 10305 Phone: 718-815-8100 | |
| Dr. Ireneo Valdes Albano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 188 Ocean Ter, Staten Island, NY 10301 Phone: 718-816-7962 | |
| Dr. Alfred Culliford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 256 Mason Ave, Staten Island, NY 10305 Phone: 718-226-1270 | |
| Lance Jung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3612 | |
| Dr. Anthony Kopatsis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3163 Hylan Blvd, Staten Island, NY 10306 Phone: 718-667-7009 Fax: 718-667-7514 |