| Dr Beena G Mahtani, DNP | |
|
35 Green Pond Rd Ste C, Rockaway, NJ 07866-2057 | |
| (973) 625-0600 | |
| (973) 625-3434 |
| Full Name | Dr Beena G Mahtani |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 35 Green Pond Rd Ste C, Rockaway, 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 |
|---|---|---|---|
| 1609395193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00762300 (New Jersey) | Primary |
| Entity Name | The Dermatology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962428474 PECOS PAC ID: 7911971510 Enrollment ID: O20040820000169 |
| Entity Name | Dermatology Center Of North Jersey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326141110 PECOS PAC ID: 6406802388 Enrollment ID: O20050323001119 |
| Entity Name | New Jersey Dermatology And Aesthetics Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780178871 PECOS PAC ID: 3678822608 Enrollment ID: O20180823002160 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Beena G Mahtani, DNP 35 Green Pond Rd Ste C, Rockaway, NJ 07866-2057 Ph: (973) 625-0600 | Dr Beena G Mahtani, DNP 35 Green Pond Rd Ste C, Rockaway, NJ 07866-2057 Ph: (973) 625-0600 |
Gandimathi Jeyabalan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1311 Clinton Ln, Rockaway, NJ 07866 Phone: 203-970-9142 | |
Deeyana Dehkan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 346 Us Highway 46, Rockaway, NJ 07866 Phone: 973-627-4870 | |
Emmanuel Kwasi Adjin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Enterprise Dr Ste 301, Rockaway, NJ 07866 Phone: 718-568-8480 Fax: 718-550-8874 | |
Mrs. Kavitha Bathini, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 607 Parkview Ln, Rockaway, NJ 07866 Phone: 415-609-4254 | |
Kelly Mcguire, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 66 E Main St, Rockaway, NJ 07866 Phone: 973-627-4499 | |
Dr. Pamela Rita Wohlgemuth, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Mohawk Ave, Rockaway, NJ 07866 Phone: 973-769-6267 | |
Mrs. Suzette Davenport, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Mount Hope Ave Ste 170, Rockaway, NJ 07866 Phone: 973-895-6633 Fax: 973-895-3474 |