| Susan Matos-cloke, MD | |
|
230 E. Ridgewood Avenue, Paramus, NJ 07652 | |
| (201) 967-4000 | |
| (201) 967-4117 |
| Full Name | Susan Matos-cloke |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 230 E. Ridgewood Avenue, Paramus, 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 |
|---|---|---|---|
| 1730107939 | NPI | - | NPPES |
| 00665274 | Medicaid | NY | |
| 527245 | Other | MEDICARE GROUP PROVIDER N |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 164031 (New York) | Secondary |
| 207R00000X | Internal Medicine | 25MA05474400 (New Jersey) | Primary |
| Entity Name | Bergen County Improvement Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891836441 PECOS PAC ID: 9032104047 Enrollment ID: O20040419001038 |
| Entity Name | Act On Total Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952992455 PECOS PAC ID: 6608284674 Enrollment ID: O20210413001435 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Matos-cloke, MD 30 Bergen Street, Building 12 Room 1205, Newark, NJ 07107-3000 Ph: (973) 972-0037 | Susan Matos-cloke, MD 230 E. Ridgewood Avenue, Paramus, NJ 07652 Ph: (201) 967-4000 |
Dr. Salvatore Focella, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 W Ridgewood Ave, Paramus, NJ 07652 Phone: 201-444-5807 Fax: 201-447-9338 | |
Dr. Michael Nevins, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 230 East Ridgewood Ave, Paramus, NJ 07652 Phone: 201-967-4156 | |
Dr. Howard Weizman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kalisa Way, Suite 210, Paramus, NJ 07652 Phone: 201-447-0013 Fax: 201-255-4515 | |
Thomas Andrew Cacciola, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 403 Farview Ave, Paramus, NJ 07652 Phone: 201-261-8386 Fax: 201-261-8827 | |
Dr. Theodore P Sgambati, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2 Sears Dr, Floor 2, Paramus, NJ 07652 Phone: 201-262-2333 Fax: 201-262-4515 | |
Lisa M Cannon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 N Rte 17, Paramus, NJ 07652 Phone: 551-218-3790 Fax: 201-979-1312 | |
Ranjan Ginde, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 From Rd Fl 5, Paramus, NJ 07652 Phone: 201-639-6630 |