| Andreas D. Rotsides, Md, Llc | |
|
195 Us Highway 46 Suite 200 Mine Hill NJ 07803-3163 | |
| (973) 328-1040 | |
| (973) 328-1544 |
| Full Name | Andreas D. Rotsides, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 195 Us Highway 46, Mine Hill, New Jersey |
| Authorized Official Name and Position | Andreas D Rotsides (OWNER) |
| Authorized Official Contact | 9733281040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andreas D. Rotsides, Md, Llc 195 Us Highway 46 Suite 200 Mine Hill NJ 07803-3163 Ph: (973) 328-1040 | Andreas D. Rotsides, Md, Llc 195 Us Highway 46 Suite 200 Mine Hill NJ 07803-3163 Ph: (973) 328-1040 |
| NPI Number | 1104880061 |
|---|---|
| Provider Enumeration Date | 04/16/2006 |
| Last Update Date | 09/08/2009 |
| Medicare PECOS PAC ID | 2668414616 |
|---|---|
| Medicare Enrollment ID | O20050531000790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104880061 | NPI | - | NPPES |
| 0077241 | Medicaid | NJ | |
| 2352899001 | Other | NJ | AMERIHEALTH GROUP ID |
| DG4164 | Other | NJ | RAILROAD MEDICARE GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA05010400 (New Jersey) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 25MA05010400 (New Jersey) | Secondary |
| Provider Name | Andreas D Rotsides |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295799153 PECOS PAC ID: 9537135454 Enrollment ID: I20050223000037 |
| Provider Name | Kathleen A Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720107774 PECOS PAC ID: 6709107493 Enrollment ID: I20171012000430 |
Digestive Disease Consultants Of North Jersey, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 195 Us Highway 46 Ste 100, Mine Hill, NJ 07803 Phone: 973-366-7330 | |
Internal Medicine Of Morris County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 195 Route 46, Suite 102, Mine Hill, NJ 07803 Phone: 973-366-6060 Fax: 973-366-1423 |