| Mina Gaballa, DO | |
|
90 Bergen St Ste 3400, Newark, NJ 07103-2425 | |
| (973) 972-2085 | |
| Not Available |
| Full Name | Mina Gaballa |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 90 Bergen St Ste 3400, Newark, 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 |
|---|---|---|---|
| 1235663378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 25MB11236800 (New Jersey) | Secondary |
| 207L00000X | Anesthesiology | 25MB11236800 (New Jersey) | Primary |
| Entity Name | New Jersey Healthcare Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
| Entity Name | Rutgers Health-rwj Pediatric Critical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780766527 PECOS PAC ID: 1355390287 Enrollment ID: O20050119000070 |
| Entity Name | Rutgers Health-rwj Scleroderma Program |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679655781 PECOS PAC ID: 5193764991 Enrollment ID: O20050502000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Mina Gaballa, DO 11 Mccormick Ave N, Old Bridge, NJ 08857-3839 Ph: (732) 556-7010 | Mina Gaballa, DO 90 Bergen St Ste 3400, Newark, NJ 07103-2425 Ph: (973) 972-2085 |
Dr. Anna Korban, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave # Msbf-611, Newark, NJ 07103 Phone: 973-972-5007 Fax: 973-972-0582 | |
Dr. Deepa Asokan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave, Msb Ste E547, Newark, NJ 07103 Phone: 973-972-5006 | |
Dr. Lawrence Willis Chinn Sr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 856-235-1983 | |
Dr. Da Wang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave Rm E-538, Newark, NJ 07103 Phone: 973-972-0470 | |
Anastasios Fotinos, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5000 | |
Jose R Chan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 201-943-0034 Fax: 201-943-8105 | |
Bong H Choi, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 155 Jefferson St, Newark, NJ 07105 Phone: 908-490-0036 Fax: 908-490-0067 |