ASHRAF MEDICAL MD.PA


Address: 475 Watchung Ave Suite 8, Watchung, NJ 07069
Phone: 7324398223

ASHRAF MEDICAL MD.PA (NPI# 1457722803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457722803
Entity Type Organization
Organization Name ASHRAF MEDICAL MD.PA
Practice Address 475 Watchung Ave Suite 8
Watchung
NJ 07069
Mailing Address 475 Watchung Ave Ste 8
Watchung
NJ 07069-4951
Practice Telephone 7324398223
Mailing Telephone 7324398223
Enumeration Date 2015-10-12
Last Update Date 2015-10-12
Authorized Official Name BAHMAN ASHRAF (MEDICAL DIRECTOR)
Authorized Official Telephone 7324398223
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization 25MA04648400 NJ Managed Care Organizations

Office Location

Street Address 475 WATCHUNG AVE SUITE 8
City WATCHUNG
State NJ
Zip Code 07069

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1609168418 Renu M Cheng Physical Therapist 170 Hill Hollow Road, Watchung, NJ 07069 2011-05-11
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Competitor

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City WATCHUNG
Zip Code 07069

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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