| Mr Phillip D Rose, PA-C | |
|
222 Cedar Lane, Suite 120, Teaneck, NJ 07666 | |
| (201) 836-5332 | |
| (201) 836-4002 |
| Full Name | Mr Phillip D Rose |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 222 Cedar Lane, Teaneck, 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 |
|---|---|---|---|
| 1205021060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00182600 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Name Medical Center | Teaneck, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Orthopedic Associates Md Pa | 7810966611 | 7 |
| Entity Name | Eastern Orthopedic Associates MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144406521 PECOS PAC ID: 7810966611 Enrollment ID: O20040929000004 |
| Entity Name | Anna J. Lavotshkin, MD, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235429911 PECOS PAC ID: 4183809460 Enrollment ID: O20110502000311 |
| Entity Name | Heritage Surgical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346674090 PECOS PAC ID: 4789909367 Enrollment ID: O20150203001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Phillip D Rose, PA-C 492c Cedar Ln, Suite 120, Teaneck, NJ 07666-1713 Ph: (201) 357-5468 | Mr Phillip D Rose, PA-C 222 Cedar Lane, Suite 120, Teaneck, NJ 07666 Ph: (201) 836-5332 |
Gina Marie Baird, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Road, Holy Name Hospital, Teaneck, NJ 07666 Phone: 201-833-3000 Fax: 610-617-6280 |
Eliana Schlesinger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Teaneck Rd Apt 334, Teaneck, NJ 07666 Phone: 973-610-1700 |
Carly Jane Lang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 679 Forest Ave, Teaneck, NJ 07666 Phone: 201-755-9232 |
Rachel Feiner, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 718 Teaneck Road, Holy Name Hospital, Teaneck, NJ 07666 Phone: 201-833-3000 Fax: 610-617-6280 |
Brian J Yang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-227-6008 Fax: 201-227-6002 |
Thomas D Praino, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Degraw Avenue, North Jersey Orthopaedic Specialists, Teaneck, NJ 07666 Phone: 201-353-9000 Fax: 201-530-0003 |
Ms. Elizabeth Danielle Olson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-3000 |