| Mr Mamdoh Michael, CRNA | |
|
285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 | |
| (732) 271-1400 | |
| (609) 631-6839 |
| Full Name | Mr Mamdoh Michael |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 285 Davidson Ave, Somerset, 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 |
|---|---|---|---|
| 1568796530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00274800 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Wood Johnson University Hospital | New brunswick, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rutgers Health-rwj Pediatric Critical Care | 1355390287 | 131 |
| Parkway Anesthesia Associates Llc | 2567758931 | 215 |
| North American Partners In Anesthesia Of New Jersey Llc | 5890867410 | 147 |
| 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 | Rutgers Health-rwj Pediatric Critical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780766527 PECOS PAC ID: 1355390287 Enrollment ID: O20050119000070 |
| Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
| Entity Name | Garden State Healthcare Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
| Entity Name | Parkway Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mamdoh Michael, CRNA 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 Ph: (732) 271-1400 | Mr Mamdoh Michael, CRNA 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 Ph: (732) 271-1400 |
Mrs. Evanthe Lucille Goins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 285 Davidson Ave, Ste 204, Somerset, NJ 08873 Phone: 732-271-1400 Fax: 732-271-3544 | |
Nisha Vijay, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 J Ari Drive, Somerset, NJ 08873 Phone: 732-422-1044 | |
Margaret A Liddy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 285 Davidson Ave Ste 204, Somerset, NJ 08873 Phone: 732-271-1400 Fax: 732-271-3544 |