| Michael Tyler Booth, PA | |
|
784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417-1306 | |
| (844) 777-0910 | |
| (201) 560-0712 |
| Full Name | Michael Tyler Booth |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 784 Franklin Ave Ste 250, Franklin Lakes, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811408313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00452000 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kayal Medical Group, Llc | 2961894019 | 76 |
| Entity Name | Kayal Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528729159 PECOS PAC ID: 2961894019 Enrollment ID: O20220121001364 |
| Entity Name | Mtb First Assist LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497520159 PECOS PAC ID: 3971032970 Enrollment ID: O20250121001049 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Tyler Booth, PA 39 Cedar Grove Pkwy, Cedar Grove, NJ 07009-1405 Ph: (973) 738-0627 | Michael Tyler Booth, PA 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417-1306 Ph: (844) 777-0910 |
Ms. Ariella Maya Shlugleyt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417 Phone: 844-777-0910 |
Ashley Bella Hagedorn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 951 Crystal Lake Ter, Franklin Lakes, NJ 07417 Phone: 201-783-2306 |
Joel Marrero, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 784 Franklin Ave, Franklin Lakes, NJ 07417 Phone: 844-777-0910 |
Mr. Robert Louis Caldera, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417 Phone: 844-777-0910 |
Mrs. Jennifer M Castellanos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 784 Franklin Ave, Franklin Lakes, NJ 07417 Phone: 844-281-1783 |
Mr. Michael George Kayal, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 784 Franklin Ave, Suite 250, Franklin Lakes, NJ 07417 Phone: 201-560-0711 Fax: 201-560-0712 |
Tiffany Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417 Phone: 844-777-0910 |