| Fady Ghattas, MD | |
| 185 Roseberry St, Phillipsburg, NJ 08865-1690 | |
| (484) 526-4000 | |
| Not Available | 
| Full Name | Fady Ghattas | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 185 Roseberry St, Phillipsburg, 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 | 
|---|---|---|---|
| 1588285456 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MA11790800 (New Jersey) | Secondary | 
| 207P00000X | Emergency Medicine | MD479240 (Pennsylvania) | Primary | 
| Entity Name | St Lukes Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 | 
| Entity Name | Gslpg, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fady Ghattas, MD 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: () - | Fady Ghattas, MD 185 Roseberry St, Phillipsburg, NJ 08865-1690 Ph: (484) 526-4000 | 
| Dr. Daria M. Starosta, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
| Dr. Atilio R Roscher, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
| Kelly Allen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 866-785-8537 | |
| Dr. Susan Tallick, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
| Dr. Kenneth Wloczewski, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
| Dr. Kim Donaldson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
| Dr. Joseph Parada, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 |