| Berkeley Internal Medicine | |
|
391 Springfield Ave Berkeley Heights NJ 07922 | |
| (908) 665-1177 | |
| (908) 665-8420 |
| Full Name | Berkeley Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 391 Springfield Ave, Berkeley Heights, New Jersey |
| Authorized Official Name and Position | Samir Patel (MD) |
| Authorized Official Contact | 9086651177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Internal Medicine Po Box 118 Berkeley Heights NJ 07922 Ph: (908) 665-1177 | Berkeley Internal Medicine 391 Springfield Ave Berkeley Heights NJ 07922 Ph: (908) 665-1177 |
| NPI Number | 1720223076 |
|---|---|
| Provider Enumeration Date | 12/15/2008 |
| Last Update Date | 05/15/2012 |
| Medicare PECOS PAC ID | 3274699897 |
|---|---|
| Medicare Enrollment ID | O20090306000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720223076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samir Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407954548 PECOS PAC ID: 0042235319 Enrollment ID: I20051006000394 |
| Provider Name | Olumuyiwa A Ibikunle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013112069 PECOS PAC ID: 8224189261 Enrollment ID: I20090702000124 |
| Provider Name | Nivedita Alla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316071087 PECOS PAC ID: 0648433680 Enrollment ID: I20120531000383 |
| Provider Name | Sakshi Kapur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538509716 PECOS PAC ID: 6709193790 Enrollment ID: I20150924000145 |
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