| Eric Fete, DO | |
|
23-00 Route 208 Ste 2-9, Fair Lawn, NJ 07410-1558 | |
| (908) 948-8802 | |
| Not Available |
| Full Name | Eric Fete |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 23-00 Route 208 Ste 2-9, Fair Lawn, 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 |
|---|---|---|---|
| 1013054980 | NPI | - | NPPES |
| 2258542 | Medicaid | OH | |
| 3810008966 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 7564 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | 25MB11352400 (New Jersey) | Primary |
| Entity Name | Eagle Healthworks Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881248359 PECOS PAC ID: 9638590656 Enrollment ID: O20200529002318 |
| Entity Name | Omega Behavioral Health Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326872177 PECOS PAC ID: 3678001724 Enrollment ID: O20250116002865 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Fete, DO 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443 | Eric Fete, DO 23-00 Route 208 Ste 2-9, Fair Lawn, NJ 07410-1558 Ph: (908) 948-8802 |
Arthur William Henderson Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12-11 Scribner Rd, Fair Lawn, NJ 07410 Phone: 201-791-6593 | |
Dagan Schwartz, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 27-18 Urban Pl, Fair Lawn, NJ 07410 Phone: 201-773-3194 |