| Grant J Price, | |
|
3900 Park Ave, Ste 107, Edison, NJ 08820-3032 | |
| (732) 548-6800 | |
| (732) 548-6290 |
| Full Name | Grant J Price |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3900 Park Ave, Edison, 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 |
|---|---|---|---|
| 1538165410 | NPI | - | NPPES |
| 300025877 | Other | NJ | RAILROAD MEDICARE - EDISON |
| 300102256 | Other | NJ | RAILROAD MEDICARE - WARREN |
| 300102256 | Other | NJ | RAILROAD MEDICARE - SMC |
| 300025896 | Other | NJ | RAILROAD MEDICARE - BRIDGEWATER |
| 5177103 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA04330700 (New Jersey) | Primary |
| Entity Name | University Radiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154367803 PECOS PAC ID: 6608868500 Enrollment ID: O20040501000035 |
| Entity Name | University Radiology At Robert Wood Johnson, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710131677 PECOS PAC ID: 7810052388 Enrollment ID: O20090217000263 |
| Entity Name | Jersey Shore Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538304019 PECOS PAC ID: 1355408212 Enrollment ID: O20090319000362 |
| Entity Name | The New Jersey Imaging Network, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629327887 PECOS PAC ID: 2860633492 Enrollment ID: O20130724000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant J Price, 579a Cranbury Rd, East Brunswick, NJ 08816-5426 Ph: (732) 390-0040 | Grant J Price, 3900 Park Ave, Ste 107, Edison, NJ 08820-3032 Ph: (732) 548-6800 |
Hank Freeman, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 65 James St, Edison, NJ 08820 Phone: 732-321-7917 Fax: 732-321-2968 | |
Dr. Gabriel Pivawer, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 65 James Street, Edison, NJ 08820 Phone: 732-321-7540 Fax: 732-287-1702 | |
Robert M Jaffe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Ave, Ste 107, Edison, NJ 08820 Phone: 732-546-6800 Fax: 732-548-6290 | |
Dr. Mark Macher, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 65 James St, Edison, NJ 08820 Phone: 732-321-7167 Fax: 732-906-4915 | |
Ling L Lam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Ave, Edison, NJ 08820 Phone: 732-548-6800 Fax: 732-548-6290 | |
Jonathan Isserow, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Ave, Ste 107, Edison, NJ 08820 Phone: 732-548-6800 Fax: 732-548-6290 | |
Dr. Martin I Parker, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 65 James St, Edison Radiology Group, Pa, Edison, NJ 08820 Phone: 732-321-7917 Fax: 732-767-2968 |