| Jeffrey John Podlaskowich, DNAP, CRNA | |
|
30 Prospect Ave, Hackensack, NJ 07601-1915 | |
| (551) 996-2000 | |
| (201) 487-0944 |
| Full Name | Jeffrey John Podlaskowich |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 30 Prospect Ave, Hackensack, 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 |
|---|---|---|---|
| 1568211399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ15149800 (New Jersey) | Primary |
| Entity Name | New Jersey Healthcare Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
| Entity Name | Rwjbh Observation Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey John Podlaskowich, DNAP, CRNA 11 Cornwallis Rd, Toms River, NJ 08755-1702 Ph: (848) 210-7347 | Jeffrey John Podlaskowich, DNAP, CRNA 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: (551) 996-2000 |
Med Murielle Pierre, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Kyungmoon Roh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2419 | |
Ahmadu Tejani Jalloh, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Christopher J Klobus, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Trenasa N Cho-chun, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2419 | |
Katherine Somefun, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 |