| Pompeo A Lucciola, MD | |
| 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | |
| (908) 277-8601 | |
| (908) 277-8706 | 
| Full Name | Pompeo A Lucciola | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 1 Diamond Hill Rd, Berkeley Heights, 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 | 
|---|---|---|---|
| 1659318061 | NPI | - | NPPES | 
| 7978107 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 25MA06931600 (New Jersey) | Primary | 
| Entity Name | Summit Medical Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 | 
| Entity Name | Emergency Physician Associates Of North Jersey P C | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497783419 PECOS PAC ID: 7911992326 Enrollment ID: O20040825001558 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pompeo A Lucciola, MD 307 S Evergreen Ave, Woodbury, NJ 08096-2739 Ph: (856) 686-4300 | Pompeo A Lucciola, MD 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 277-8601 | 
| Dr. Paul B Avondoglio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922 Phone: 908-273-4300 Fax: 908-790-6524 | |
| Donna L Lupski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-273-4300 Fax: 908-277-8706 | |
| Dr. Henry Peter Schwerner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 115 Wentworth Drive, Berkeley Heights, NJ 07922 Phone: 908-419-8465 | |
| Dr. Maria Gatoulis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8601 Fax: 908-277-8706 | |
| Dr. Ghitta Eibschutz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922 Phone: 908-273-4300 Fax: 908-228-3621 | |
| Ida A Miguelino, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922 Phone: 908-273-4300 Fax: 908-769-2516 | |
| Stacey Tavel,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8601 Fax: 908-277-8706 |