| Sijo Devasia, | |
|
385 Morris Ave Fl 2, Springfield, NJ 07081-1151 | |
| (973) 379-2111 | |
| (973) 379-2807 |
| Full Name | Sijo Devasia |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 385 Morris Ave Fl 2, Springfield, 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 |
|---|---|---|---|
| 1366046492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00584000 (New Jersey) | Primary |
| Entity Name | Robert Wood Johnson Medical Associates at Hamilton PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619206828 PECOS PAC ID: 6204805419 Enrollment ID: O20040924000847 |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Entity Name | Immediate Care Medical Walk in of Hazlet PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245595313 PECOS PAC ID: 0547410797 Enrollment ID: O20121024000045 |
| Entity Name | Urgent Care Physicians of New Jersey LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447622402 PECOS PAC ID: 1658674585 Enrollment ID: O20160126002347 |
| Mailing Address | Practice Location Address |
|---|---|
| Sijo Devasia, Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Sijo Devasia, 385 Morris Ave Fl 2, Springfield, NJ 07081-1151 Ph: (973) 379-2111 |
Victoria Lora, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 673 Morris Ave Ste 201, Springfield, NJ 07081 Phone: 917-623-4774 |
Mrs. Vashti Etwaru, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 649 Morris Ave, Springfield, NJ 07081 Phone: 973-795-7955 |
Ms. Amanda Marie Ahearn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 193 Mountain Ave, Springfield, NJ 07081 Phone: 973-218-1579 |
Mrs. Ann Mccune, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 90 Route 22, Springfield, NJ 07081 Phone: 973-467-2273 Fax: 973-467-5385 |
Stephanie Pierre-pierre, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 90 Route 22, Springfield, NJ 07081 Phone: 973-467-2273 |
Marjan Tabarestani, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Morris Ave, Springfield, NJ 07081 Phone: 973-759-1221 Fax: 973-759-1997 |
Daniella Greaves, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 Morris Ave, Springfield, NJ 07081 Phone: 973-379-2111 Fax: 973-379-2807 |