| Maksim Ptushko, MD | |
|
3 University Plz Ste 205, Hackensack, NJ 07601-6208 | |
| (201) 530-7920 | |
| Not Available |
| Full Name | Maksim Ptushko |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 17 Years |
| Location | 3 University Plz Ste 205, Hackensack, 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 |
|---|---|---|---|
| 1427402718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA10730300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Name Medical Center | Teaneck, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holy Name Anesthesia Partners | 6204167976 | 28 |
| Entity Name | Ambulatory Center For Endoscopy, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1003842626 PECOS PAC ID: 4688675952 Enrollment ID: O20070130000055 |
| Entity Name | Holy Name Anesthesia Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457907461 PECOS PAC ID: 6204167976 Enrollment ID: O20191010000939 |
| Entity Name | Ambulatory Center For Endoscopy, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1184009326 PECOS PAC ID: 4688675952 Enrollment ID: O20210916002716 |
| Mailing Address | Practice Location Address |
|---|---|
| Maksim Ptushko, MD 3 University Plz Ste 205, Hackensack, NJ 07601-6208 Ph: (201) 530-7920 | Maksim Ptushko, MD 3 University Plz Ste 205, Hackensack, NJ 07601-6208 Ph: (201) 530-7920 |
Mr. Philip Ofosu Eck, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave Ste 2703, Hackensack, NJ 07601 Phone: 551-996-2419 Fax: 551-996-3962 | |
Ms. Somdatta Gupta, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 973-216-7796 | |
Dr. Tyler Michael Chafitz, MD, MBA Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Michael E Cullen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 201-488-0066 Fax: 201-488-6769 | |
William P Brotherton, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 140 Prospect Ave, Suite 8, Hackensack, NJ 07601 Phone: 201-488-0066 Fax: 201-488-6769 | |
Steven Alan Topfer, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 201-488-0066 Fax: 201-488-6769 | |
Stephen M Weitzman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Prospect Ave, 4f, Hackensack, NJ 07601 Phone: 201-487-8557 |