| Stephen William Warren, MD | |
|
579a Cranbury Rd, University Radiology Group Pc, East Brunswick, NJ 08816-5426 | |
| (732) 390-0040 | |
| (732) 390-1856 |
| Full Name | Stephen William Warren |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 579a Cranbury Rd, East Brunswick, 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 |
|---|---|---|---|
| 1063492577 | NPI | - | NPPES |
| 922200 | Medicaid | NJ | |
| 00258113 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA03570900 (New Jersey) | Primary |
| Entity Name | University Radiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154367803 PECOS PAC ID: 6608868500 Enrollment ID: O20040331001432 |
| Entity Name | University Radiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154367803 PECOS PAC ID: 6608868500 Enrollment ID: O20040501000035 |
| Entity Name | Jersey Shore Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538304019 PECOS PAC ID: 1355408212 Enrollment ID: O20090319000362 |
| Entity Name | The New Jersey Imaging Network, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629327887 PECOS PAC ID: 2860633492 Enrollment ID: O20130724000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen William Warren, MD 579a Cranbury Rd, University Radiology Group Pc, East Brunswick, NJ 08816-5426 Ph: (732) 390-0040 | Stephen William Warren, MD 579a Cranbury Rd, University Radiology Group Pc, East Brunswick, NJ 08816-5426 Ph: (732) 390-0040 |
Salim Samuel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 579a Cranbury Rd, University Radiology Group Pc, East Brunswick, NJ 08816 Phone: 732-390-0040 Fax: 732-390-1856 | |
Jeffrey Dorr, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 483 Cranbury Rd, East Brunswick, NJ 08816 Phone: 732-390-0030 Fax: 732-390-5383 | |
David L Rosenfeld, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 483 Cranbury Rd, University Radiology Group Pc, East Brunswick, NJ 08816 Phone: 732-390-0030 Fax: 732-390-5383 | |
Dr. Levi Olatokunbo Sokol, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 483 Cranbury Rd, East Brunswick, NJ 08816 Phone: 732-390-0040 Fax: 732-390-1856 | |
Douglas Mark Solonick, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 579a Cranbury Rd, University Radiology Group Pc, East Brunswick, NJ 08816 Phone: 732-390-0040 Fax: 732-390-1856 | |
Harsha Jonna, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 579a Cranbury Rd, East Brunswick, NJ 08816 Phone: 732-390-0040 Fax: 732-390-1856 |