| Ronald D Ennis, MD | |
|
1000 10th Ave, Lower Level, New York, NY 10019-1147 | |
| (212) 523-7165 | |
| (212) 523-8189 |
| Full Name | Ronald D Ennis |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 35 Years |
| Location | 1000 10th Ave, New York, New York |
| 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 |
|---|---|---|---|
| 1780668400 | NPI | - | NPPES |
| 01811072 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 196138 (New York) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 25MA09380900 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Wood Johnson University Hospital | New brunswick, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rutgers Health-rwj Scleroderma Program | 5193764991 | 342 |
| Entity Name | St Josephs Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
| Entity Name | University Physician Associates Of New Jersey Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316957913 PECOS PAC ID: 9830003417 Enrollment ID: O20041117000179 |
| 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 |
| Entity Name | Rutgers Health Rwj Radiation Oncology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942249909 PECOS PAC ID: 6103993225 Enrollment ID: O20080916000004 |
| Entity Name | St Josephs Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald D Ennis, MD Po Box 95000-2456, Philadelphia, PA 19195-0001 Ph: (212) 844-8027 | Ronald D Ennis, MD 1000 10th Ave, Lower Level, New York, NY 10019-1147 Ph: (212) 523-7165 |
Dr. Vincent Graziano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 W 11th St, Apt 1a, New York, NY 10011 Phone: 646-407-2044 | |
Dr. Ankur Gupta, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 226 E 29th St, Apt 5d, New York, NY 10016 Phone: 646-621-7240 Fax: 718-343-7463 | |
Dr. Cyril Varghese, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 506 Lenox Ave, New York, NY 10037 Phone: 844-692-4692 | |
Dr. Stephen P Reis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Columbia University Department Of Radiology, 622 West 168th Street Pb-1-301, New York, NY 10032 Phone: 212-305-1948 | |
Dr. Matthew Chiarello, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5506 | |
Daniel Kadosh, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 630 W 168th St, New York, NY 10032 Phone: 212-305-1948 | |
Dr. Patrick Colin Malloy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 423 E 23rd St, Radiology Service, New York, NY 10010 Phone: 212-686-7500 |