| Jack Hajjar, MD | |
|
475 Seaview Ave, Staten Island, NY 10305-3436 | |
| (718) 226-2000 | |
| Not Available |
| Full Name | Jack Hajjar |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 475 Seaview 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 |
|---|---|---|---|
| 1265430888 | NPI | - | NPPES |
| 01188283 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 176194-1 (New York) | Primary |
| Entity Name | Judah Schorr Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528160421 PECOS PAC ID: 5799674198 Enrollment ID: O20040420001228 |
| Entity Name | Wine Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407984255 PECOS PAC ID: 4688769094 Enrollment ID: O20090323000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Hajjar, MD Po Box 10049, New York, NY 10259-0049 Ph: (201) 804-2800 | Jack Hajjar, MD 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-2000 |
David K Chen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Dr. Michael Costes, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 375 Seguine Ave, Staten Island, NY 10309 Phone: 718-226-2000 | |
Carlos Alcala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-2000 | |
Dr. M. Joycelynne Y. Tecson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2348 Richmond Rd, Staten Island, NY 10306 Phone: 718-987-3338 Fax: 718-667-3043 | |
Jonathan Li, Anesthesiology Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9290 | |
Dr. Robert Walter Bohnenberger, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-3298 | |
Dr. Shasky Kevin Charles, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1298 Richmond Rd, Staten Island, NY 10304 Phone: 203-676-9195 |