Avenel Iselin Medical Group Pa - Medicare Primary Care in Iselin, NJ

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Avenel Iselin Medical Group Pa is a medicare enrolled primary clinic (Durable Medical Equipment & Medical Supplies) in Iselin, New Jersey. The current practice location for Avenel Iselin Medical Group Pa is 400 Gill Ln, Iselin, New Jersey. For appointments, you can reach them via phone at (732) 404-1580. The mailing address for Avenel Iselin Medical Group Pa is 400 Gill Ln, Iselin, New Jersey and phone number is (732) 404-1580.

Avenel Iselin Medical Group Pa is licensed to practice in New Jersey (license number 4805470001). The clinic also participates in the medicare program and its NPI number is 1487674867. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (732) 404-1580.

Contact Information

Avenel Iselin Medical Group Pa
400 Gill Ln
Iselin
NJ 08830-3001
(732) 404-1580
(732) 404-1594

Map and Direction


Primary Care Clinic Profile

Full NameAvenel Iselin Medical Group Pa
SpecialityDurable Medical Equipment & Medical Supplies
Location400 Gill Ln, Iselin, New Jersey
Authorized Official Name and PositionJean Parente (PRACTICE ADMINISTRATOR)
Authorized Official Contact7324041580
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Avenel Iselin Medical Group Pa
400 Gill Ln
Iselin
NJ 08830-3001

Ph: (732) 404-1580		Avenel Iselin Medical Group Pa
400 Gill Ln
Iselin
NJ 08830-3001

Ph: (732) 404-1580

NPI Details:

NPI Number1487674867
Provider Enumeration Date07/20/2006
Last Update Date05/22/2012

Medicare PECOS Information:

Medicare PECOS PAC ID5597751941
Medicare Enrollment IDO20040422000098

Medical Identifiers

Medical identifiers for Avenel Iselin Medical Group Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487674867NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Secondary
207UN0901XNuclear Medicine - Nuclear Cardiology (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
208800000XUrology (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary
213E00000XPodiatrist 25MD00101300 (New Jersey)Secondary
332B00000XDurable Medical Equipment & Medical Supplies 4805470001 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Avenel Iselin Medical Group Pa acts as a billing entity for following providers:
Provider NameMark A Singer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1235136789
PECOS PAC ID: 7719886241
Enrollment ID: I20040311000521
Provider NameMayank D Patel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1518985332
PECOS PAC ID: 3870579055
Enrollment ID: I20040628001154
Provider NameSang Ho Song
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1952386518
PECOS PAC ID: 7416935499
Enrollment ID: I20040708000259
Provider NameAdam Michael Kopelan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1679573307
PECOS PAC ID: 2668447319
Enrollment ID: I20040827000116
Provider NameLeo J Fontana
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194722637
PECOS PAC ID: 5193753473
Enrollment ID: I20050728000398
Provider NameEdward S Rittweger
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184621625
PECOS PAC ID: 1456250984
Enrollment ID: I20050810000726
Provider NameCharles A Saniewski
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1336146877
PECOS PAC ID: 5799685673
Enrollment ID: I20050810000742
Provider NameDavid G Wirtshafter
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225035785
PECOS PAC ID: 3476584814
Enrollment ID: I20050825000835
Provider NameKevin O Clarke
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1598789265
PECOS PAC ID: 8729045489
Enrollment ID: I20061020000380
Provider NameAnjum Tanwir
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1144320128
PECOS PAC ID: 2567564123
Enrollment ID: I20070228000237
Provider NamePeter S Doss
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609869098
PECOS PAC ID: 0446211155
Enrollment ID: I20070326000160
Provider NameRobert Czyzewski
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1558304782
PECOS PAC ID: 7315004710
Enrollment ID: I20090331000080
Provider NameAlicia Lubin-baskin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801880570
PECOS PAC ID: 2668466426
Enrollment ID: I20091119000035
Provider NameMarc Mayer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720083132
PECOS PAC ID: 8022002872
Enrollment ID: I20091221000166
Provider NameMitchell F Mayer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639173008
PECOS PAC ID: 7911991773
Enrollment ID: I20091221000223
Provider NameNeil J Perilstein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144224510
PECOS PAC ID: 2567456320
Enrollment ID: I20091223000244
Provider NameJoseph Riggi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265436638
PECOS PAC ID: 1658411640
Enrollment ID: I20091223000328
Provider NameWageeh W Azer
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1255501375
PECOS PAC ID: 0749328946
Enrollment ID: I20110519000783
Provider NameDavid Stephen Pertsemlidis
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1366539769
PECOS PAC ID: 1759562036
Enrollment ID: I20140527000937
Provider NameSwati Gupta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386035772
PECOS PAC ID: 5799078465
Enrollment ID: I20160719001343
Provider NameAqsa Siddiqui
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619350691
PECOS PAC ID: 8820375835
Enrollment ID: I20170501000063
Provider NameEsther Pollack
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568625978
PECOS PAC ID: 9537437637
Enrollment ID: I20170614000474
Provider NameGladys Belarmino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679092035
PECOS PAC ID: 7315391604
Enrollment ID: I20230920001348
Provider NameJacob Tatum
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1528590916
PECOS PAC ID: 8527449081
Enrollment ID: I20231205002613
Provider NameAndrew Hurwich
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1649707852
PECOS PAC ID: 3072880939
Enrollment ID: I20240216002450

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.