| Michele E Fantasia, MD | |
|
200 Somerset St, New Brunswick, NJ 08901-1942 | |
| (732) 258-7000 | |
| (908) 301-5456 |
| Full Name | Michele E Fantasia |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine |
| Location | 200 Somerset St, New Brunswick, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447226261 | NPI | - | NPPES |
| 221487148 | Other | NJ | DEVON HEALTHCARE |
| 01000313201 | Other | NJ | AMERICHOICE NJ |
| 1096732 | Other | NJ | HORIZON NJ HEALTH |
| 2119078000 | Other | NJ | AMERIHEALTH |
| 221487148 | Other | NJ | UNITED HEALTHCARE |
| S51B01 | Other | NJ | EMPIRE |
| 0125682 | Other | NJ | CIGNA HEALTHCARE |
| P2122543 | Other | NJ | OXFORD |
| 2K3684 | Other | NJ | HEALTHNET |
| 54027 | Other | NJ | AMERIGROUP |
| 221487148 | Other | NJ | MULTIPLAN |
| 2300074 | Other | NJ | AETNA HEALTHCARE |
| 24225 | Other | NJ | UNIVERSITY HEALTH PLAN |
| 221487148 | Other | NJ | GREAT WEST |
| 221487148 | Other | NJ | HORIZON BCBS NJ |
| 221487148-016 | Other | NJ | QUALCARE INC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | 25MA06336800 (New Jersey) | Primary |
| Entity Name | Children's Specialized Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396886297 PECOS PAC ID: 4486733243 Enrollment ID: O20101216000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele E Fantasia, MD 150 New Providence Rd, Mountainside, NJ 07092-2590 Ph: (908) 301-5404 | Michele E Fantasia, MD 200 Somerset St, New Brunswick, NJ 08901-1942 Ph: (732) 258-7000 |
Sarita Cirelli, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-937-8623 | |
Dr. Katherine Saltstein Bentley, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 Somerset St, New Brunswick, NJ 08901 Phone: 732-258-7000 Fax: 908-389-5675 | |
Samuel Rey Egina, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-937-8623 | |
Yuriy Olegovich Ivanov, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 125 Paterson St, New Brunswick, NJ 08901 Phone: 732-235-7661 Fax: 732-235-7246 |