| Kamal Addagatla, MD | |
|
1255 Broad St, Clifton, NJ 07013-3398 | |
| (973) 327-9584 | |
| (833) 578-2190 |
| Full Name | Kamal Addagatla |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 13 Years |
| Location | 1255 Broad St, Clifton, 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 |
|---|---|---|---|
| 1730522061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 336911-01 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yale University | 9436061736 | 2644 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Kamal Addagatla, MD 800 Westchester Ave Ste S512, Rye Brook, NY 10573-1369 Ph: (914) 800-1022 | Kamal Addagatla, MD 1255 Broad St, Clifton, NJ 07013-3398 Ph: (973) 327-9584 |
Dr. Theodora J Maio, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 71 Adams Ter, Clifton, NJ 07013 Phone: 201-704-1946 Fax: 973-783-7855 | |
Wanchu Thomas Kim, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1272 Clifton Ave, Clifton, NJ 07012 Phone: 973-471-2916 Fax: 973-470-9636 | |
Gary B Nackman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1037 Us Highway 46, Suite 202, Clifton, NJ 07013 Phone: 973-778-2222 Fax: 973-860-1148 | |
Dr. Ramon Silen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1117 Route 46 East, Suite 301, Clifton, NJ 07013 Phone: 973-779-4242 Fax: 973-779-0146 | |
Dr. Alexis C. Bobila, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1037 Route 46, Suite #103, Clifton, NJ 07013 Phone: 973-471-8852 | |
Dr. Dimitrios John Fotiadis, MD PYSICIAN SURGEON Surgery Medicare: Not Enrolled in Medicare Practice Location: 337 Grove Str, Clifton, NJ 07013 Phone: 973-779-3787 Fax: 973-778-6433 | |
Dr. Franklyn Vazquez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 716 Broad St, Clifton, NJ 07013 Phone: 973-777-7978 |