| East Orange General Hospital | |
|
300 Central Ave East Orange NJ 07018-2819 | |
| (973) 672-8400 | |
| Not Available |
| Full Name | East Orange General Hospital |
|---|---|
| Speciality | General Practice |
| 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 | 1578922258 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Medicare PECOS PAC ID | 4082009717 |
|---|---|
| Medicare Enrollment ID | O20220317002585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578922258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 208M00000X | Hospitalist | () | Secondary |
| Provider Name | Jayant H Barai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447294178 PECOS PAC ID: 5698674182 Enrollment ID: I20040105000108 |
| Provider Name | Aruna G Yeldandi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255479028 PECOS PAC ID: 1557341500 Enrollment ID: I20040721001164 |
| Provider Name | Arkady Finkel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558358499 PECOS PAC ID: 9133025356 Enrollment ID: I20040913000294 |
| Provider Name | Thomas Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538156310 PECOS PAC ID: 4981666104 Enrollment ID: I20041101000076 |
| Provider Name | Paul J Svigals |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265452684 PECOS PAC ID: 2062460033 Enrollment ID: I20050107000392 |
| Provider Name | Shamji K Shah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588631626 PECOS PAC ID: 0840243085 Enrollment ID: I20050228000534 |
| Provider Name | Catalino L Dela Cruz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124131016 PECOS PAC ID: 7012981657 Enrollment ID: I20050315000102 |
| Provider Name | David Klyde |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447204946 PECOS PAC ID: 3072573237 Enrollment ID: I20050425001018 |
| Provider Name | Alicia L Daniels |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831186733 PECOS PAC ID: 6507892122 Enrollment ID: I20050719000050 |
| Provider Name | Cynthia a Barone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699762591 PECOS PAC ID: 2961472998 Enrollment ID: I20050824000719 |
| Provider Name | Randall Snyder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295729598 PECOS PAC ID: 3072544485 Enrollment ID: I20050825000643 |
| 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 | Anthony I Okafor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306845391 PECOS PAC ID: 1254365828 Enrollment ID: I20050922000876 |
| Provider Name | Kevin Willis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174510937 PECOS PAC ID: 0648170217 Enrollment ID: I20051013000516 |
| Provider Name | John P Swidryk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740277516 PECOS PAC ID: 5496781015 Enrollment ID: I20051018000016 |
| Provider Name | Samuel a Banigo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063503555 PECOS PAC ID: 8921013194 Enrollment ID: I20060412000248 |
| Provider Name | Amir M Friedman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417907361 PECOS PAC ID: 3971549288 Enrollment ID: I20061122000078 |
| Provider Name | Paul Y Shieh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376745828 PECOS PAC ID: 0840382875 Enrollment ID: I20070822001272 |
| Provider Name | Naveen Ballem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306971874 PECOS PAC ID: 8022111038 Enrollment ID: I20080714000173 |
| Provider Name | Lakeia D Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912196353 PECOS PAC ID: 1254406135 Enrollment ID: I20080813000114 |
| Provider Name | Stephanie B Hanhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629286315 PECOS PAC ID: 0446396436 Enrollment ID: I20091005000674 |
| Provider Name | Fares Diarbakerli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508011602 PECOS PAC ID: 3173664562 Enrollment ID: I20100107000312 |
| Provider Name | Joshua David Kellerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598906000 PECOS PAC ID: 8426240805 Enrollment ID: I20101004000649 |
| Provider Name | Gitendra Rajiyah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083693196 PECOS PAC ID: 4082615539 Enrollment ID: I20101230000635 |
| Provider Name | Kevin M Cousins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922445162 PECOS PAC ID: 4082855564 Enrollment ID: I20130725000484 |
| Provider Name | Chika E Nwokeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740414713 PECOS PAC ID: 8628261963 Enrollment ID: I20140130001086 |
| Provider Name | Harvey Rainville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083843783 PECOS PAC ID: 4082843206 Enrollment ID: I20140212000032 |
| Provider Name | Norman Pennington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295728251 PECOS PAC ID: 8527960251 Enrollment ID: I20140724000776 |
| Provider Name | Hinesh Upadhyay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144632944 PECOS PAC ID: 7214156041 Enrollment ID: I20140910000235 |
| Provider Name | Kartik Narendra Gohil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649432097 PECOS PAC ID: 8325281751 Enrollment ID: I20150227000783 |
| Provider Name | Gardy Valentin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740598457 PECOS PAC ID: 2062696842 Enrollment ID: I20150807014003 |
| 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 | Dmitry Gorelik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942375654 PECOS PAC ID: 0345297883 Enrollment ID: I20160122000580 |
| Provider Name | Evan Jay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366812836 PECOS PAC ID: 3476842485 Enrollment ID: I20160516000026 |
| Provider Name | J Louis Solis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205801321 PECOS PAC ID: 0749176717 Enrollment ID: I20171113000144 |
| Provider Name | Tushar Chandra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306126222 PECOS PAC ID: 8426205279 Enrollment ID: I20180717003225 |
| Provider Name | Ivy Nnorom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737077 PECOS PAC ID: 5294084885 Enrollment ID: I20180815000459 |
| Provider Name | Andrew C Friedman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306283213 PECOS PAC ID: 1355606971 Enrollment ID: I20190523001206 |
| Provider Name | Carl Kraus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194142430 PECOS PAC ID: 8022449008 Enrollment ID: I20200506002447 |
| Provider Name | Syed Anwarulislam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932518123 PECOS PAC ID: 0749604312 Enrollment ID: I20200716001059 |
| Provider Name | Aditya M Patel |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1134410236 PECOS PAC ID: 4284899931 Enrollment ID: I20200909000746 |
| Provider Name | Jessica D Kondraciuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083057061 PECOS PAC ID: 6002141348 Enrollment ID: I20201007000014 |
| Provider Name | Michael Warhit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063821726 PECOS PAC ID: 6103166426 Enrollment ID: I20201116001063 |
| Provider Name | Bharath K Chinta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033168422 PECOS PAC ID: 3577567767 Enrollment ID: I20210812000582 |
| Provider Name | Bridget Azera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861997272 PECOS PAC ID: 6507263043 Enrollment ID: I20210924002763 |
| Provider Name | Jeffrey Hal |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376600064 PECOS PAC ID: 8426023342 Enrollment ID: I20220914000029 |
| Provider Name | Venkat Ramana Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538363114 PECOS PAC ID: 7012082878 Enrollment ID: I20220924000006 |
| Provider Name | Vivek Sehgal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083610943 PECOS PAC ID: 1355339656 Enrollment ID: I20220930000027 |
| Provider Name | Shu Shanna Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265055230 PECOS PAC ID: 5193191633 Enrollment ID: I20221025000354 |
| Provider Name | Gregory Babigian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881785939 PECOS PAC ID: 9830132976 Enrollment ID: I20221102001976 |
| Provider Name | Sharon C Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013588417 PECOS PAC ID: 2860869559 Enrollment ID: I20221109002581 |
| Provider Name | Fraz Amjad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356001895 PECOS PAC ID: 7416327846 Enrollment ID: I20221229002437 |
| Provider Name | Edmund Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295706307 PECOS PAC ID: 6002861184 Enrollment ID: I20230309001921 |
| Provider Name | Asaph CJ Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346636891 PECOS PAC ID: 7517203961 Enrollment ID: I20230316002260 |
| Provider Name | Sanjeev Athale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407836935 PECOS PAC ID: 6103870621 Enrollment ID: I20230419000533 |
| Provider Name | Pavan Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891936795 PECOS PAC ID: 1658596739 Enrollment ID: I20230420001579 |
| Provider Name | Anik Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639597081 PECOS PAC ID: 7416294343 Enrollment ID: I20230424000479 |
| Provider Name | Shilpa Hegde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497068415 PECOS PAC ID: 9739335886 Enrollment ID: I20240510000153 |
| Provider Name | Alain Abi Ghanem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659534964 PECOS PAC ID: 5193265825 Enrollment ID: I20240910000111 |
| Provider Name | Pankaj Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902012099 PECOS PAC ID: 5193785129 Enrollment ID: I20240926000125 |
| Provider Name | Melissa Denniston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083449995 PECOS PAC ID: 3779015243 Enrollment ID: I20241022003169 |
| Provider Name | Syed Jafery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245712835 PECOS PAC ID: 5799023214 Enrollment ID: I20250219001914 |
| Provider Name | Mariam Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811708688 PECOS PAC ID: 1153842620 Enrollment ID: I20250313000579 |
| Provider Name | Adam Coen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083943260 PECOS PAC ID: 8628246030 Enrollment ID: I20250502000494 |
| Provider Name | Sireesha Iruvuri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225245590 PECOS PAC ID: 4688843832 Enrollment ID: I20250514001381 |
| Provider Name | Dhiraj Baruah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235442963 PECOS PAC ID: 7517121643 Enrollment ID: I20250605001993 |
| Provider Name | Luke Higgins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316264328 PECOS PAC ID: 3779732946 Enrollment ID: I20250821003221 |
| Provider Name | Moamen Mohammad Al Zoubi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770902587 PECOS PAC ID: 4688978083 Enrollment ID: I20260305001828 |
| Provider Name | Victor Lami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073969523 PECOS PAC ID: 4183055478 Enrollment ID: I20260319004023 |
| Provider Name | Mohmmad Hajjiri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972786465 PECOS PAC ID: 0143415489 Enrollment ID: I20260323000183 |
| Provider Name | Matthew Knouse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477045284 PECOS PAC ID: 3870848591 Enrollment ID: I20260323002187 |
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 |
Matter Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 576 Central Ave Fl 3, East Orange, NJ 07018 Phone: 615-570-2330 |
Clinical Consulting Group 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 |