| Mr Brian Chaballa, PA-C | |
|
19 Davis Ave, Fl 2, Neptune, NJ 07753 | |
| (732) 776-4135 | |
| Not Available |
| Full Name | Mr Brian Chaballa |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 19 Davis Ave, Neptune, 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 |
|---|---|---|---|
| 1285434449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00917900 (New Jersey) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 25MP00917900 (New Jersey) | Secondary |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Chaballa, PA-C 331 Newman Springs Rd, Bldg 2, Ste 220, Red Bank, NJ 07701-5688 Ph: Not Available | Mr Brian Chaballa, PA-C 19 Davis Ave, Fl 2, Neptune, NJ 07753 Ph: (732) 776-4135 |
Justin Van Nest, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1945 State Route 33, Neptune, NJ 07753 Phone: 732-776-2330 |
Cortney Seitz, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1945 Route 33, K Hovnanian Children's Hospital, Neptune, NJ 07753 Phone: 732-413-3626 Fax: 732-776-2344 |
Stephanie Wickman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1945 Route 33, Fl 4 Ackerman, Neptune, NJ 07753 Phone: 732-776-4949 |
Danielle Kristan Bulauitan, M.S, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1945 State Route 33, Neptune, NJ 07753 Phone: 732-776-2918 |
Mary Elizabeth Summerlott, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1945 State Route 33, Neptune, NJ 07753 Phone: 732-776-3790 |
Natalie Zachary, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1945 State Route 33, Neptune, NJ 07753 Phone: 732-897-3600 |
Michelle Catalano, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1945 Route 33, Neptune, NJ 07753 Phone: 732-897-3980 Fax: 732-897-3982 |