| Ronak S Shah, | |
|
200 S Orange Ave, Livingston, NJ 07039-5817 | |
| (973) 577-4056 | |
| Not Available |
| Full Name | Ronak S Shah |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 200 S Orange Ave, Livingston, 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 |
|---|---|---|---|
| 1427444306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 297864 (New York) | Secondary |
| 207L00000X | Anesthesiology | 25MA10980000 (New Jersey) | Primary |
| Entity Name | Memorial Anesthesiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467423020 PECOS PAC ID: 8729977129 Enrollment ID: O20040313000040 |
| Entity Name | Fpa Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronak S Shah, 200 S Orange Ave, Livingston, NJ 07039-5817 Ph: (973) 577-4056 | Ronak S Shah, 200 S Orange Ave, Livingston, NJ 07039-5817 Ph: (973) 577-4056 |
Jacob Joseph Ferguson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000 | |
Dr. Emmanuel Rodriguez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 Fax: 973-322-8165 | |
David Allen Zylberger, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 | |
Gerry C. Fox, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 | |
Dr. Oluyemisi Modupeore Odugbesan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000 | |
Jessica P Mahajan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-8945 | |
Dr. Arpita Ghosh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 Fax: 973-322-8165 |