| East Orange General Hospital | |
|
300 Central Ave East Orange NJ 07018-2819 | |
| (973) 672-8400 | |
| Not Available |
| Full Name | East Orange General Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Central Ave, East Orange, New Jersey |
| Authorized Official Name and Position | Rafael Ramos (SR. DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 9739608561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Orange General Hospital 300 Central Avenue East Orange NJ 07018-2819 Ph: (973) 414-3473 | East Orange General Hospital 300 Central Ave East Orange NJ 07018-2819 Ph: (973) 672-8400 |
| NPI Number | 1578932604 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 9931401437 |
|---|---|
| Medicare Enrollment ID | O20151230000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578932604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 10704 (New Jersey) | Primary |
| Provider Name | Ambrose O Mgbako |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629045323 PECOS PAC ID: 8426941949 Enrollment ID: I20040206000497 |
| Provider Name | Ronald A Daly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124122866 PECOS PAC ID: 2961491261 Enrollment ID: I20040511001105 |
| Provider Name | Natalie Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114032059 PECOS PAC ID: 5496732794 Enrollment ID: I20040706000268 |
| Provider Name | Shamji K Shah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588631626 PECOS PAC ID: 0840243085 Enrollment ID: I20050228000534 |
| Provider Name | Audrey M Hinds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861461337 PECOS PAC ID: 6608823711 Enrollment ID: I20050331000988 |
| Provider Name | Joseph V Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053351569 PECOS PAC ID: 6800828252 Enrollment ID: I20050907000103 |
| Provider Name | Qaisra Saeed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407829955 PECOS PAC ID: 7012949282 Enrollment ID: I20050908000631 |
| Provider Name | Iftekhar Kadri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093711947 PECOS PAC ID: 5496712051 Enrollment ID: I20050914000063 |
| Provider Name | Naveen Ballem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306971874 PECOS PAC ID: 8022111038 Enrollment ID: I20080714000173 |
| Provider Name | Abbas A Shehadeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215900774 PECOS PAC ID: 4981779964 Enrollment ID: I20080827000037 |
| Provider Name | Rajendra R Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144338641 PECOS PAC ID: 5698878734 Enrollment ID: I20100113000392 |
| Provider Name | Thomas D Amato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912157116 PECOS PAC ID: 9739228859 Enrollment ID: I20100318000631 |
| Provider Name | Calvin C Matthews |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376616367 PECOS PAC ID: 3274660527 Enrollment ID: I20100420000018 |
| Provider Name | Terry Xiaozhou Shang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063673432 PECOS PAC ID: 6305975129 Enrollment ID: I20100608000287 |
| Provider Name | Mohammad Ayub Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720162951 PECOS PAC ID: 4385830082 Enrollment ID: I20101119000945 |
| Provider Name | Nina R Coffin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265527311 PECOS PAC ID: 0244412591 Enrollment ID: I20110308000970 |
| Provider Name | Harvey C Rainville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083843783 PECOS PAC ID: 4082843206 Enrollment ID: I20140212000032 |
| Provider Name | Kartik Narendra Gohil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649432097 PECOS PAC ID: 8325281751 Enrollment ID: I20150227000783 |
| Provider Name | Esira J C Beaubrun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013276062 PECOS PAC ID: 3375843154 Enrollment ID: I20151201000197 |
| Provider Name | Brian Matier |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1942484159 PECOS PAC ID: 6103077029 Enrollment ID: I20161122001942 |
| Provider Name | Babalola O Jinadu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770835282 PECOS PAC ID: 0749597854 Enrollment ID: I20170619000121 |
| Provider Name | Monika Mahajan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437661154 PECOS PAC ID: 5991065310 Enrollment ID: I20180205000115 |
| Provider Name | Ivy F Nnorom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737077 PECOS PAC ID: 5294084885 Enrollment ID: I20180815000459 |
| Provider Name | Margo Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194248443 PECOS PAC ID: 2668801796 Enrollment ID: I20200410001229 |
| Provider Name | Salman Okour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265691505 PECOS PAC ID: 6507094950 Enrollment ID: I20200618000032 |
United Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 S Harrison St Suite 304, East Orange, NJ 07018 Phone: 862-438-8265 | |
Clinical Consulting Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, East Orange, NJ 07018 Phone: 973-417-6871 | |
Lianmed Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 102, East Orange, NJ 07018 Phone: 201-512-9494 | |
East Orange Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 S Munn Ave, East Orange, NJ 07018 Phone: 973-674-8100 Fax: 973-674-8400 | |
Orange Medical Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 106, East Orange, NJ 07018 Phone: 973-674-4542 Fax: 973-674-3901 | |
A1 Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Central Ave, Suite 310, East Orange, NJ 07018 Phone: 973-678-2900 Fax: 973-678-8183 | |
Salerno Medical Associates, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 613 Park Ave, 2nd Floor, East Orange, NJ 07017 Phone: 973-672-2455 Fax: 973-675-0040 |