Leisa A Mcdonnough-genin (NPI# 1114257896, PAC ID# 0547390072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1114257896 |
| PAC ID by PECOS | 0547390072 |
| Professional Enrollment ID | I20140212000404 |
| Full Name | Leisa A Mcdonnough-genin |
| Organization Legal Name | SOUTHERN BANK EMERGENCY PHYSICIANS LLC |
| Address |
254 Easton Ave New Brunswick NJ 08901-1766 |
| Phone Number | 7327458525 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9436202421 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310070 | SAINT PETER'S UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 254 Easton Ave, New Brunswick, NJ 08901-1766 | 7327458525 | SOUTHERN BANK EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | SOUTHERN BANK EMERGENCY PHYSICIANS LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manjushree Matadial | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-1766 |
| William J Kelly | Nurse Practitioner | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-1766 |
| Diana R Goldstein | Nurse Practitioner | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-1766 |
| Antonio M Grasso | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Tanisha Arora | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Pooja M Patil | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Sarah E Kulp | Physician Assistant | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Peter C Freis | Pediatric Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Melissa Y Richart | Physician Assistant | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Tanuja Bhoj | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Street Address |
254 EASTON AVE |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip | 08901-1766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christoph Ohngemach | Pediatric Medicine | Saint Peters University Hospital | 254 Easton Ave, New Brunswick, NJ 08901-1766 |
| Joan C Lynn | Nurse Practitioner | Saint Peters University Hospital | 254 Easton Ave, Spuh Ambulatory Care Group, New Brunswick, NJ 08901-1766 |
| Balaji Yegneswaran | Critical Care (intensivists) | Saint Peters University Hospital | 254 Easton Ave, New Brunswick, NJ 08901-1766 |
| David E Jacob | Cardiovascular Disease (cardiology) | Saint Peters University Hospital | 254 Easton Ave, New Brunswick, NJ 08901-1766 |
| Robert Zannella | Podiatry | New Jersey Foot and Ankle Associates LLC | 254 Easton Ave, New Brunswick, NJ 08901-1766 |
| Venus Khalil | Family Medicine | 254 Easton Ave, New Brunswick, NJ 08901-1780 | |
| Santiago Wer Arrivillaga | Internal Medicine | Saint Peters University Hospital | 254 Easton Ave, Spuh Ambulatory Care Group, New Brunswick, NJ 08901-1766 |
| Amita Avadhani | Nurse Practitioner | Saint Peters University Hospital | 254 Easton Ave, Spuh Ambulatory Care Group, New Brunswick, NJ 08901-1766 |
| Chirag Patel | Hospitalist | Saint Peters University Hospital | 254 Easton Ave, Spuh Ambulatory Care Group, New Brunswick, NJ 08901-1766 |
| Gopal R Desai | Radiation Oncology | Saint Peters University Hospital | 254 Easton Ave, Spuh Ambulatory Care Group, New Brunswick, NJ 08901-1766 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace C Cho | Anesthesiology | Anesthesia Consultants of New Jersey LLC | St Peters Univ Hospital, New Brunswick, NJ 08901 |
| Antonio M Grasso | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Tanisha Arora | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Pooja M Patil | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Sarah E Kulp | Physician Assistant | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Peter C Freis | Pediatric Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Melissa Y Richart | Physician Assistant | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Tanuja Bhoj | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Michael L Hochberg | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Robin Axel | Clinical Social Worker | Catholic Charities, Diocese of Metuchen | 24 Abeel St, New Brunswick, NJ 08901-1303 |
| Find all physicians in zip 08901 | |||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NEW BRUNSWICK + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Leisa A Mcdonnough-genin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.