| Michael Edward Mirman, PA | |
|
99 Beauvoir Ave, Summit, NJ 07901-3595 | |
| (908) 522-2232 | |
| Not Available |
| Full Name | Michael Edward Mirman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 99 Beauvoir Ave, Summit, 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 |
|---|---|---|---|
| 1184323453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00763100 (New Jersey) | Primary |
| Entity Name | Emergency Physician Associates of North Jersey P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497783419 PECOS PAC ID: 7911992326 Enrollment ID: O20040825001558 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Edward Mirman, PA 251 Crescenzi Ct, West Orange, NJ 07052-4137 Ph: (973) 902-9334 | Michael Edward Mirman, PA 99 Beauvoir Ave, Summit, NJ 07901-3595 Ph: (908) 522-2232 |
Celina Strong, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 908-522-6414 Fax: 908-598-2337 |
Miriam Josief Mikhail, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 908-522-2000 |
Emily O'brien Gray-voorhees, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 33 Overlook Rd Ste 201, Summit, NJ 07901 Phone: 908-795-1194 |
Rushi Mehta, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 99 Beauvoir Ave Fl 5, Summit, NJ 07901 Phone: 908-522-2829 Fax: 908-522-6147 |
Mr. Matthew David Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 99 Beauvoir Avenue, Carol G. Simon Cancer Center, Summit, NJ 07901 Phone: 908-608-0078 |
Seid Yusuf Mulic, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 99 Beauvoir Ave # 3533, Summit, NJ 07901 Phone: 908-522-2232 |
Stephen Donald Husch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Springfield Ave Fl 3, Summit, NJ 07901 Phone: 908-934-0555 Fax: 908-934-0556 |