| Dustin Geldrich Roberts, | |
|
150 Bergen St, Newark, NJ 07103-2496 | |
| (973) 972-5188 | |
| (973) 972-7429 |
| Full Name | Dustin Geldrich Roberts |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 150 Bergen St, Newark, 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 |
|---|---|---|---|
| 1033672605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 25MA12718100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
| Martin Luther King, Jr. Community Hospital | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martin Luther King Jr Community Medical Foundation | 8628359502 | 172 |
| Entity Name | Ucla Radiology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538 |
| Entity Name | Martin Luther King Jr Community Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Geldrich Roberts, 185 S Orange Ave # F-506, Newark, NJ 07103-2757 Ph: (973) 972-5188 | Dustin Geldrich Roberts, 150 Bergen St, Newark, NJ 07103-2496 Ph: (973) 972-5188 |
Dr. Keith Michael Spellman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7960 | |
Michael Warhit, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7960 | |
Kris Arun Nathan, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Dr. Omar Jamil, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave, Department Of Surgery, Medical Science Building, G-506, Newark, NJ 07103 Phone: 973-972-6639 | |
Dr. Candido P Quinones, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5287 | |
John Yoon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave Dept Of, Newark, NJ 07112 Phone: 732-763-0437 |