| Avedamed Llc | |
| 
					707 S Orange Ave South Orange NJ 07079-2698  | |
| (973) 761-1140 | |
| (973) 761-4990 | 
| Full Name | Avedamed Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 707 S Orange Ave, South Orange, New Jersey | 
| Authorized Official Name and Position | Chirag D Patel (PRESIDENT) | 
| Authorized Official Contact | 9736997505 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Avedamed Llc 707 S Orange Ave South Orange NJ 07079-2698 Ph: (973) 761-1140  | Avedamed Llc 707 S Orange Ave South Orange NJ 07079-2698 Ph: (973) 761-1140  | 
| NPI Number | 1538432786 | 
|---|---|
| Provider Enumeration Date | 02/20/2012 | 
| Last Update Date | 06/02/2025 | 
| Medicare PECOS PAC ID | 8022272509 | 
|---|---|
| Medicare Enrollment ID | O20120613000286 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538432786 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Dinesh R Patel | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1285702829 PECOS PAC ID: 9436191962 Enrollment ID: I20050928000381  | 
| Provider Name | Ramesh L Patel | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1437245354 PECOS PAC ID: 9739104761 Enrollment ID: I20051010000454  | 
| Provider Name | John M Augustin | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1225146632 PECOS PAC ID: 1052447869 Enrollment ID: I20100331000830  | 
| Provider Name | Satish R Mehta | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1366545402 PECOS PAC ID: 2466647797 Enrollment ID: I20101112000483  | 
| Provider Name | Julie John | 
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) | 
| Provider Identifiers | NPI Number: 1487816989 PECOS PAC ID: 6002041373 Enrollment ID: I20131023001309  | 
| Provider Name | Aigner Green | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1669813119 PECOS PAC ID: 9830319805 Enrollment ID: I20140926000148  | 
| Provider Name | Chirag D Patel | 
|---|---|
| Provider Type | Practitioner - Interventional Cardiology | 
| Provider Identifiers | NPI Number: 1114326162 PECOS PAC ID: 5991003972 Enrollment ID: I20160406002319  | 
| Provider Name | Sulakshana Gandhi | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1669819744 PECOS PAC ID: 1153643135 Enrollment ID: I20171129002302  | 
| Provider Name | Alfred Thunty Samura | 
|---|---|
| Provider Type | Practitioner - Interventional Cardiology | 
| Provider Identifiers | NPI Number: 1316470958 PECOS PAC ID: 7911318795 Enrollment ID: I20201130002037  | 
| Provider Name | Gurdarshan Sandhu | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1609370089 PECOS PAC ID: 7911390190 Enrollment ID: I20220210002472  | 
| Provider Name | Jaimy Patel | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1467804625 PECOS PAC ID: 3678959046 Enrollment ID: I20221008000050  | 
| Provider Name | Shiyu Wang | 
|---|---|
| Provider Type | Practitioner - Rheumatology | 
| Provider Identifiers | NPI Number: 1245792530 PECOS PAC ID: 1658605316 Enrollment ID: I20240724000020  | 
| Provider Name | Kemoy Fong | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1457096828 PECOS PAC ID: 3274066196 Enrollment ID: I20241031000839  | 
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