| Jean A Otrakji, MD | |
|
721 N Beers St, Suite 1-f, Holmdel, NJ 07733-1518 | |
| (732) 888-9100 | |
| (732) 888-5515 |
| Full Name | Jean A Otrakji |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 49 Years |
| Location | 721 N Beers St, Holmdel, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154380996 | NPI | - | NPPES |
| 3266206 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 25MA04735600 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dva Holmdel Dialysis Ctr | Holmdel, NJ | Dialysis facility |
| Wall Township Home Training | Wall, NJ | Dialysis facility |
| Meridian Fresenius Dialysis Red Bank | Red bank, NJ | Dialysis facility |
| Bayshore Medical Center | Holmdel, NJ | Hospital |
| Riverview Medical Center | Red bank, NJ | Hospital |
| Jersey Shore University Medical Center | Neptune, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nephrology Services Medical Group Of New Jersey | 0840473013 | 2 |
| Entity Name | Nephrology Services Medical Group Of New Jersey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568409464 PECOS PAC ID: 0840473013 Enrollment ID: O20110325000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean A Otrakji, MD 721 N Beers St, Suite 1-f, Holmdel, NJ 07733-1518 Ph: (732) 888-9100 | Jean A Otrakji, MD 721 N Beers St, Suite 1-f, Holmdel, NJ 07733-1518 Ph: (732) 888-9100 |
Vinod K Aggarwal, MD FCCP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 702 North Beers Street, Ste 2, Holmdel, NJ 07733 Phone: 732-718-0663 Fax: 732-264-8858 | |
Dr. Anne Ruston Pearl, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 22 Highpoint Rd, Holmdel, NJ 07733 Phone: 732-264-8852 | |
Dr. Raed A Jitan, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 15 Mccampbell Rd, Holmdel, NJ 07733 Phone: 732-946-0995 Fax: 732-946-0995 | |
Dr. Parini Munjal Patel, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 100 Commons Way, Holmdel, NJ 07733 Phone: 732-450-2925 | |
Georgios Giannakopoulos, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 717 N Beers St, Suite 2e, Holmdel, NJ 07733 Phone: 732-735-8237 Fax: 732-888-7381 | |
Alexandra Petrou, PA Nephrology Medicare: Medicare Enrolled Practice Location: 34 Main St, Holmdel, NJ 07733 Phone: 732-320-9196 Fax: 877-421-3585 | |
Yong Choo, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 719 N Beers Street, Ste 2g, Holmdel, NJ 07733 Phone: 732-264-0086 Fax: 732-264-6274 |