| Serge Bontemps, MD | |
|
681 Broadway, Paterson, NJ 07514-1421 | |
| (973) 278-1000 | |
| (973) 278-1709 |
| Full Name | Serge Bontemps |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 681 Broadway, Paterson, 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 |
|---|---|---|---|
| 1538240817 | NPI | - | NPPES |
| 0522309 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MA24361 (New Jersey) | Primary |
| Entity Name | Bergenline X Ray Diagnostic Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073787826 PECOS PAC ID: 7911077532 Enrollment ID: O20080609000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Serge Bontemps, MD 681 Broadway, Paterson, NJ 07514-1421 Ph: (973) 278-1000 | Serge Bontemps, MD 681 Broadway, Paterson, NJ 07514-1421 Ph: (973) 278-1000 |
Dr. Lisa Marie Sheppard, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 680 Broadway Ste 111, Paterson, NJ 07514 Phone: 973-977-6662 Fax: 973-341-1128 | |
Stephen Kwon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2645 | |
Robin Frank-gerszberg, MD Radiology Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-3181 | |
Dr. Jannine Benvenuto, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 680 Broadway Ste 111, Paterson, NJ 07514 Phone: 973-977-6662 | |
Edward Milman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2645 | |
Patrick Conte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 978-754-2645 | |
Vijay Hiremath, MD Radiology Medicare: Medicare Enrolled Practice Location: 703 Main St, Ground Floor, Paterson, NJ 07503 Phone: 973-754-2645 |