| Jeffrey Desilets, MD | |
|
1 N Washington Ave, Bergenfield, NJ 07621-2125 | |
| (201) 384-7333 | |
| Not Available |
| Full Name | Jeffrey Desilets |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1 N Washington Ave, Bergenfield, 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 |
|---|---|---|---|
| 1992265029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 1014974 (Massachusetts) | Secondary |
| 207W00000X | Ophthalmology | 25MA12394800 (New Jersey) | Primary |
| Entity Name | New Jersey Eye Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235155615 PECOS PAC ID: 0941295968 Enrollment ID: O20040419001105 |
| Entity Name | New Jersey Eye Center Pa |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1235234055 PECOS PAC ID: 0941295968 Enrollment ID: O20070319000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Desilets, MD 1 N Washington Ave, Bergenfield, NJ 07621-2125 Ph: (201) 384-7333 | Jeffrey Desilets, MD 1 N Washington Ave, Bergenfield, NJ 07621-2125 Ph: (201) 384-7333 |
Mr. Alejandro Bevacqua, MD PHYSICIAN Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 North Washington Avenue, Bergenfield, NJ 07621 Phone: 201-384-7333 Fax: 201-384-2564 | |
Jeffrey S Dello Russo, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1 North Washington Avenue, Bergenfield, NJ 07621 Phone: 201-384-7333 Fax: 201-384-2564 |