| Maria Korogodsky, PA-C | |
|
65 Bergen St, Newark, NJ 07107-3001 | |
| (973) 972-5686 | |
| Not Available |
| Full Name | Maria Korogodsky |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 65 Bergen St, Newark, 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 |
|---|---|---|---|
| 1114177441 | NPI | - | NPPES |
| 25MP00067500 | Other | NJ | GASTROENTEROLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00067500 (New Jersey) | Primary |
| Entity Name | Robert Wood Johnson Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848625 PECOS PAC ID: 8628065117 Enrollment ID: O20040427001205 |
| Entity Name | Rutgers Health-rwj Neurosurgery Faculty |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710012604 PECOS PAC ID: 4587613443 Enrollment ID: O20050118000611 |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Korogodsky, PA-C 27 Softwood Way, Warren, NJ 07059-6791 Ph: (973) 972-5686 | Maria Korogodsky, PA-C 65 Bergen St, Newark, NJ 07107-3001 Ph: (973) 972-5686 |
Karlina Nguyen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 |
Cheynya Johnson-brimley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 185 S Orange Ave, Newark, NJ 07103 Phone: 848-445-4636 |
Paula Wanderley Asaibene, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 228 Lafayette St Fl 5, Newark, NJ 07105 Phone: 973-491-5222 |
Mr. Anthony H Hamded, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 111 Central Ave Fl 3, Newark, NJ 07102 Phone: 973-877-5300 Fax: 973-877-2621 |
Miss Rupali Pradip Shah, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Dept Of Cardiothoracic Surgery- G5, Newark, NJ 07112 Phone: 973-926-8032 Fax: 973-923-4683 |
Malik N Cobb Sr., PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 65 Bergen St, Suite Ga-230, Newark, NJ 07107 Phone: 973-972-9461 Fax: 973-972-6227 |
Maeve Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 |