| Edward Mardakhaev, MD | |
|
718 Teaneck Rd, Teaneck, NJ 07666-4245 | |
| (201) 833-7255 | |
| Not Available |
| Full Name | Edward Mardakhaev |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 718 Teaneck Rd, Teaneck, New Jersey |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396139820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA12491100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Name Medical Center | Teaneck, NJ | Hospital |
| North Shore University Hospital | Manhasset, NY | Hospital |
| Montefiore Medical Center | Bronx, NY | Hospital |
| Lenox Hill Hospital | New york, NY | Hospital |
| Northern Westchester Hospital | Mount kisco, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lenox Hill Radiology And Medical Imaging Associates Pc | 2264424712 | 217 |
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Montefiore Medical Center | 3779496021 | 2350 |
| Southside Faculty Medical Affiliates University Faculty Practice Corpo | 5698175933 | 198 |
| Peace Health Partners, Pc | 6709776222 | 28 |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | Hudson Valley Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174574115 PECOS PAC ID: 4486567690 Enrollment ID: O20040128000958 |
| Entity Name | Lenox Hill Radiology & Medical Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821036807 PECOS PAC ID: 2264424712 Enrollment ID: O20040402000403 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Medical Services Of Kips Bay Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669075651 PECOS PAC ID: 0143635524 Enrollment ID: O20210217000628 |
| Entity Name | Southside Faculty Medical Affiliates University Faculty Prac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20210608003649 |
| Entity Name | Neb Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073590840 PECOS PAC ID: 8325008972 Enrollment ID: O20250425000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Mardakhaev, MD 3 University Plz Ste 205, Hackensack, NJ 07601-6208 Ph: (201) 833-3599 | Edward Mardakhaev, MD 718 Teaneck Rd, Teaneck, NJ 07666-4245 Ph: (201) 833-7255 |
Mr. Howard Lawrence Kirzner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 699 Teaneck Road, Teaneck, NJ 07666 Phone: 201-836-2500 Fax: 201-836-0083 | |
Charles P Vialotti, MD Radiology Medicare: Medicare Enrolled Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-541-5900 Fax: 201-541-0305 | |
Mrs. Adrienne Masin Greenblatt, MD Radiology Medicare: Medicare Enrolled Practice Location: 699 Teaneck Road, Teaneck, NJ 07666 Phone: 201-836-2500 Fax: 201-836-7921 | |
Dr. Joshua D. Gross, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-7100 Fax: 201-833-7248 | |
John Rundback, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-227-6210 Fax: 201-643-3077 | |
Daniel Brian Lerer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 788 Winthrop Rd, Teaneck, NJ 07666 Phone: 201-281-0316 Fax: 201-836-3194 | |
Howard Berman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Holy Name Hospital Department Of Radiology, 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-3445 |