| Doctors Place | |
|
75 Summit Ave Ste 200 Hackensack NJ 07601-8504 | |
| (201) 734-5853 | |
| Not Available |
| Full Name | Doctors Place |
|---|---|
| Speciality | General Practice |
| Location | 75 Summit Ave Ste 200, Hackensack, New Jersey |
| Authorized Official Name and Position | Chantal Gabriel (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2017345853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Place 226 State Street #1018 Hackensack NJ 07601-6451 Ph: (201) 540-8647 | Doctors Place 75 Summit Ave Ste 200 Hackensack NJ 07601-8504 Ph: (201) 734-5853 |
| NPI Number | 1659977015 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 04/07/2024 |
| Certification Date | 04/07/2024 |
| Medicare PECOS PAC ID | 4486053915 |
|---|---|
| Medicare Enrollment ID | O20210603000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659977015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 261QH0100X | Clinic/center - Health Service | () | Secondary |
| Provider Name | Chantal D Gabriel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366584195 PECOS PAC ID: 2163328881 Enrollment ID: I20071205000186 |
| Provider Name | Isabella Sherbatova |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518002963 PECOS PAC ID: 3779709860 Enrollment ID: I20140725001502 |
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