| Johnny Larsen, DO | |
|
600 River Ave, Kimball Medical Center, Lakewood, NJ 08701-5237 | |
| (732) 363-1900 | |
| Not Available |
| Full Name | Johnny Larsen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 600 River Ave, Lakewood, 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 |
|---|---|---|---|
| 1417976341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MB05391100 (New Jersey) | Primary |
| Entity Name | Barnabas Health Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206420 PECOS PAC ID: 0648172809 Enrollment ID: O20040127000361 |
| Entity Name | Rwjbh Observation Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
| Entity Name | Rwjbh Emergency Medicine Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912510041 PECOS PAC ID: 0941612840 Enrollment ID: O20201217002547 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Larsen, DO Po Box 717, Livingston, NJ 07039-0717 Ph: (973) 740-0607 | Johnny Larsen, DO 600 River Ave, Kimball Medical Center, Lakewood, NJ 08701-5237 Ph: (732) 363-1900 |
John Solas, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 River Ave, Kimball Medical Center, Lakewood, NJ 08701 Phone: 732-363-1900 | |
Gowri Rajeswaran, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 River Ave, Kimball Medical Center, Lakewood, NJ 08701 Phone: 732-222-5200 | |
Tsui Rangam, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 River Ave, Kimball Medical Center, Lakewood, NJ 08701 Phone: 732-363-1900 | |
Ian Leber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 River Ave, Kimball Medical Center, Lakewood, NJ 08701 Phone: 732-363-1900 | |
Amit Setya, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 River Ave, Lakewood, NJ 08701 Phone: 732-363-1900 | |
Kevin Sirchio, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 River Ave, Kimball Medical Center, Lakewood, NJ 08701 Phone: 732-363-1900 |