| Michael Wesson, MD | |
|
223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | |
| (201) 634-5403 | |
| (201) 252-8472 |
| Full Name | Michael Wesson |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 43 Years |
| Location | 223 N Van Dien Ave, Ridgewood, 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 |
|---|---|---|---|
| 1760437321 | NPI | - | NPPES |
| 5515009 | Medicaid | NJ | |
| 01195151 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 25MA05805500 (New Jersey) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | 1640601 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Hospital | Ridgewood, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Physician Services Pc | 3577857333 | 509 |
| 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 Wesson, MD 1244 Lincoln Ave, Pompton Lakes, NJ 07442-1420 Ph: (862) 666-9200 | Michael Wesson, MD 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 Ph: (201) 634-5403 |
David Greenblatt, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-634-5403 Fax: 201-634-5765 | |
Michael Joseph Lombino, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Chad M Deyoung, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-634-5403 Fax: 201-252-8472 | |
Dr. Lisa R Weinstock, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 79 Chestnut St, Ridgewood, NJ 07450 Phone: 201-444-4484 Fax: 201-444-4148 |