| Mid Atlantic Geriatric Associates-ocean, P.a | |
|
1043 Route 70 Unit C3 Manchester NJ 08759-5806 | |
| (732) 657-6100 | |
| (732) 657-0111 |
| Full Name | Mid Atlantic Geriatric Associates-ocean, P.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 1043 Route 70, Manchester, New Jersey |
| Authorized Official Name and Position | Joshua R Shua-haim (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7326576100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Atlantic Geriatric Associates-ocean, P.a 1043 Route 70 Unit C3 Manchester NJ 08759-5806 Ph: (732) 657-6100 | Mid Atlantic Geriatric Associates-ocean, P.a 1043 Route 70 Unit C3 Manchester NJ 08759-5806 Ph: (732) 657-6100 |
| NPI Number | 1134165210 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 03/18/2013 |
| Medicare PECOS PAC ID | 8123064409 |
|---|---|
| Medicare Enrollment ID | O20050708000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134165210 | NPI | - | NPPES |
| 1134165210 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Joshua R Shua Haim |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1073554879 PECOS PAC ID: 0749226025 Enrollment ID: I20050713000120 |
| Provider Name | Patricia A Brogan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1912944950 PECOS PAC ID: 0042249948 Enrollment ID: I20050811000092 |
| Provider Name | Brian M O'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912269457 PECOS PAC ID: 6103068978 Enrollment ID: I20130807000053 |
Apollo Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2142 Route 70, Manchester, NJ 08759 Phone: 732-408-9585 Fax: 732-408-9586 | |
Platinum Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2485 Holly Hill Rd, Manchester, NJ 08759 Phone: 732-451-3398 | |
Lakewood Children's Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Laketree Ct, Manchester, NJ 08759 Phone: 917-957-2273 |