| Edward Adrian, MD | |
|
355 Bard Ave, Emergency Dept, Staten Island, NY 10310-1664 | |
| (718) 818-2055 | |
| (212) 356-4608 |
| Full Name | Edward Adrian |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 355 Bard 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 |
|---|---|---|---|
| 1013945880 | NPI | - | NPPES |
| 01517028 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 153315 (New York) | Primary |
| Entity Name | Central Jersey Emergency Medicine Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538106257 PECOS PAC ID: 2769386812 Enrollment ID: O20031121000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Adrian, MD 355 Bard Ave, Emergency Dept, Staten Island, NY 10310-1664 Ph: (718) 818-2055 | Edward Adrian, MD 355 Bard Ave, Emergency Dept, Staten Island, NY 10310-1664 Ph: (718) 818-2055 |
Shamyla Farrukh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9158 Fax: 718-226-6964 | |
Dr. Shorok E Hassan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Patrick Kettyle, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855 | |
Paul Bollmeyer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608 | |
Ann Marchesano, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Emergency Dept, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608 | |
Dr. Teresa Myongeun Choe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855 |