| Justin Joseph Panthappattu, MD | |
| 
					3400 Spruce St, Philadelphia, PA 19104-4238  | |
| (215) 662-8000 | |
| Not Available | 
| Full Name | Justin Joseph Panthappattu | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Nephrology | 
| Location | 3400 Spruce St, Philadelphia, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083242887 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA11886500 (New Jersey) | Secondary | 
| 207RN0300X | Internal Medicine - Nephrology | MT232269 (Pennsylvania) | Primary | 
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524  | 
| Entity Name | Hackensack Meridian Health Medical Group - Primary Care Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336203538 PECOS PAC ID: 7911003330 Enrollment ID: O20070502000000  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Justin Joseph Panthappattu, MD 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: () -  | Justin Joseph Panthappattu, MD 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 662-8000  | 
Philippe Olivier Szapary, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949  | |
Dr. Jamie L. Garfield, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-5864 Fax: 215-707-6867  | |
Maria Esther Escorcia De Leon, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-1622 Fax: 215-707-0943  | |
Cherag Daruwala, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123  | |
Dr. Robert Burke, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208  | |
Eva Hassan Alsheik, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071  | |
Dr. Jason Thomas Ackrivo, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871  |