| Taylor Grader, PA-C | |
|
30 Prospect Ave Radiology Dept, Hackensack, NJ 07601-1915 | |
| (201) 488-2660 | |
| Not Available |
| Full Name | Taylor Grader |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 30 Prospect Ave Radiology Dept, Hackensack, 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 |
|---|---|---|---|
| 1356239198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 25MP00946600 (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 |
|---|---|---|
| Garden State Healthcare Associates Llc | 8426190687 | 171 |
| Peace Health Partners, Pc | 6709776222 | 33 |
| Entity Name | Peace Health Partners, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265463954 PECOS PAC ID: 6709776222 Enrollment ID: O20040318000511 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Grader, PA-C 130 Kinderkamack Rd Ste 200, River Edge, NJ 07661-1951 Ph: (201) 488-2660 | Taylor Grader, PA-C 30 Prospect Ave Radiology Dept, Hackensack, NJ 07601-1915 Ph: (201) 488-2660 |
Dhaval D Shah, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 87 Summit Ave, Hackensack, NJ 07601 Phone: 201-489-0022 Fax: 201-489-6991 |
Isabelle Salvador, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Summit Ave Ste 105, Hackensack, NJ 07601 Phone: 551-996-2900 |
Elias M Sassoon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Emergency Medicine, Hackensack, NJ 07601 Phone: 201-996-4614 |
Mrs. Sharon R Meltzer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 Prospect Ave Ste 703, Hackensack, NJ 07601 Phone: 551-996-4424 Fax: 551-996-0831 |
James L Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Emergency Medicine, Hackensack, NJ 07601 Phone: 201-996-4614 |
Andrea Stuart, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack University Medical Center, Hackensack, NJ 07601 Phone: 551-996-2000 |
Erin Miller, P.A. - C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 |