| Gastroenterology Assoc. Of North Jersey | |
|
369 W Blackwell St Dover NJ 07801-2560 | |
| (973) 361-7660 | |
| (973) 361-0455 |
| Full Name | Gastroenterology Assoc. Of North Jersey |
|---|---|
| Speciality | Internal Medicine |
| Location | 369 W Blackwell St, Dover, New Jersey |
| Authorized Official Name and Position | Barry S. Benerofe (PRESIDENT) |
| Authorized Official Contact | 9733617660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Assoc. Of North Jersey 369 W Blackwell St Dover NJ 07801-2560 Ph: (973) 361-7660 | Gastroenterology Assoc. Of North Jersey 369 W Blackwell St Dover NJ 07801-2560 Ph: (973) 361-7660 |
| NPI Number | 1477599322 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567465214 |
|---|---|
| Medicare Enrollment ID | O20060818000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477599322 | NPI | - | NPPES |
| 6694004 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Miroslav R Radevic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275779894 PECOS PAC ID: 8628123759 Enrollment ID: I20090826000067 |
| Provider Name | Sergey Rybalov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386670552 PECOS PAC ID: 2769524313 Enrollment ID: I20101119000513 |
| Provider Name | Matthew E Krupnick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629005566 PECOS PAC ID: 0749283406 Enrollment ID: I20101206000834 |
| Provider Name | Linjun Xie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639242928 PECOS PAC ID: 3577730845 Enrollment ID: I20120127000343 |
Doc In A Car P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Michael Ct, Dover, NJ 07801 Phone: 973-216-4009 | |
Urgent Care Medical Associates Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Mount Pleasant Ave, Dover, NJ 07801 Phone: 973-989-0800 Fax: 973-989-0875 | |
M.j. Mintz D.o.,p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Michael Ct, Dover, NJ 07801 Phone: 973-216-4009 Fax: 862-244-4145 | |
Zufall Health Dental Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 S Warren St, Dover, NJ 07801 Phone: 973-328-3344 | |
Central Morris Obstetrical Assoc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 West Blackwell Street, Central Morris Obstetrical Assoc Llc, Dover, NJ 07801 Phone: 973-989-3114 | |
Saint Clare's Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 West Blackwell St, Saint Clare's Community Health Center, Dover, NJ 07801 Phone: 973-989-3343 Fax: 973-989-1751 |