| On Call Medical Care Nj Pc | |
|
1254 Highway 27 North Brunswick NJ 08902-1765 | |
| (516) 615-8586 | |
| Not Available |
| Full Name | On Call Medical Care Nj Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1254 Highway 27, North Brunswick, New Jersey |
| Authorized Official Name and Position | Simon Fensterszaub (DO) |
| Authorized Official Contact | 2013210349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Call Medical Care Nj Pc 6 Fillmore Ave Staten Island NY 10314-4131 Ph: (516) 615-8586 | On Call Medical Care Nj Pc 1254 Highway 27 North Brunswick NJ 08902-1765 Ph: (516) 615-8586 |
| NPI Number | 1528684917 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 02/15/2023 |
| Medicare PECOS PAC ID | 6406270552 |
|---|---|
| Medicare Enrollment ID | O20200722000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528684917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Simon Fensterszaub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003077322 PECOS PAC ID: 5890970230 Enrollment ID: I20200108001714 |
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