| Michael Angelo Ietta, MD | |
|
500 W Main St, Suite 16, Wyckoff, NJ 07481-1439 | |
| (201) 847-9403 | |
| (201) 847-0059 |
| Full Name | Michael Angelo Ietta |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 41 Years |
| Location | 500 W Main St, Wyckoff, New Jersey |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356319735 | NPI | - | NPPES |
| 5508207 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MA56733 (New Jersey) | Primary |
| Entity Name | Bergen Anesthesia Group, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194816249 PECOS PAC ID: 6608861794 Enrollment ID: O20040419000098 |
| Entity Name | Valley Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Angelo Ietta, MD 71 Gilbert Rd, Ho Ho Kus, NJ 07423-1405 Ph: (201) 251-2213 | Michael Angelo Ietta, MD 500 W Main St, Suite 16, Wyckoff, NJ 07481-1439 Ph: (201) 847-9403 |
Stephen Gal, M.D.,PH.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Main St, Suite 16, Wyckoff, NJ 07481 Phone: 201-847-9320 Fax: 201-847-0059 |
Edward Morr, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Suite 16, Wyckoff, NJ 07481 Phone: 201-847-9403 |
Theodore James Beke, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Main St, Wyckoff, NJ 07481 Phone: 201-647-9403 Fax: 201-847-0059 |
Dr. Pamela Sue Lavrich, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Wyckoff, NJ 07481 Phone: 201-847-9320 |
Dr. Henry Haifeng Zhou, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Suite 16, Wyckoff, NJ 07481 Phone: 201-847-9403 |
Dr. Chaim E Rosen, MD05 Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Suite 16, Wyckoff, NJ 07481 Phone: 201-847-9403 |
Alexander Grant, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St Ste 16, Wyckoff, NJ 07481 Phone: 201-847-9320 Fax: 201-847-0059 |