Edward S Fobben (NPI# 1235283946, PAC ID# 0840194825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1235283946 |
PAC ID by PECOS | 0840194825 |
Professional Enrollment ID | I20050718000185 |
Full Name | Edward S Fobben |
Organization Legal Name | GARDEN STATE HEALTHCARE ASSOCIATES LLC |
Address |
29 E 29th St Bayonne NJ 07002-4654 |
Phone Number | 2018585000 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
Graduation Year | 1983 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 8426190687 |
Number of Group Practice Members | 151 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310025 | BAYONNE MEDICAL CENTER |
310074 | JERSEY CITY MEDICAL CENTER |
310016 | CAREPOINT HEALTH-CHRIST HOSPITAL |
310040 | HOBOKEN UNIVERSITY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
29 E 29th St, Bayonne, NJ 07002-4654 | 2018585000 | GARDEN STATE HEALTHCARE ASSOCIATES LLC |
308 Willow Ave, Hoboken, NJ 07030-3808 | 2014181000 | GARDEN STATE HEALTHCARE ASSOCIATES LLC |
176 Palisade Ave, Jersey City, NJ 07306-1121 | 2017958200 | GARDEN STATE HEALTHCARE ASSOCIATES LLC |
Organization Legal Name | GARDEN STATE HEALTHCARE ASSOCIATES LLC |
Physicians | 115 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bilal Khan | Critical Care (intensivists) | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Sonia V Borker | Family Medicine | Garden State Healthcare Associates LLC | 176 Palisade Ave, Jersey City, NJ 07306-1121 |
Sharmalie Perera | Pulmonary Disease | Garden State Healthcare Associates LLC | 308 Willow Ave, Hoboken, NJ 07030-3808 |
Jennifer M Hendi | Diagnostic Radiology | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Peter H Pham | Family Medicine | Garden State Healthcare Associates LLC | 308 Willow Ave, Hoboken, NJ 07030-3808 |
Steven J Garcia | Family Medicine | Garden State Healthcare Associates LLC | 308 Willow Ave, Hoboken, NJ 07030-3808 |
Gautami K Rao | Neurology | Garden State Healthcare Associates LLC | 176 Palisade Ave, Jersey City, NJ 07306-1121 |
Dineasha M Potter-mcquilkin | Obstetrics/gynecology | Garden State Healthcare Associates LLC | 308 Willow Ave, Hoboken, NJ 07030-3808 |
Ramon Rafer | Anesthesiology | Garden State Healthcare Associates LLC | 308 Willow Ave, Hoboken, NJ 07030-3808 |
Jonathan Moy | Anesthesiology | Garden State Healthcare Associates LLC | 176 Palisade Ave, Jersey City, NJ 07306-1121 |
Street Address |
29 E 29TH ST |
City | BAYONNE |
State | NJ |
Zip | 07002-4654 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bilal Khan | Critical Care (intensivists) | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Jennifer M Hendi | Diagnostic Radiology | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Susan F Paramonte | Nurse Practitioner | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Ajantha Rangasamy | Internal Medicine | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Daryl A Bosompem | Emergency Medicine | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Rani V Vaswani | Internal Medicine | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
William B Avery | Anesthesiology | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Marisa Rose Varallo | Pathology | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
David Lin | Emergency Medicine | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Olga A Abduakhadov | Psychiatry | Garden State Healthcare Associates LLC | 29 E 29th St, Bayonne, NJ 07002-4654 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven T Coachman | Chiropractic | 7 W 8th St, Bayonne, NJ 07002-1201 | |
Zbigniew Md Moszczynski | General Surgery | 31 W 8th St, Bayonne, NJ 07002-1201 | |
Justine Pawlukewicz | Clinical Social Worker | 103 W 8th St, Bayonne, NJ 07002-1202 | |
Hani M Rizk | Physical Therapy | Sportscare of America, PC | 33 W 8th St, Bayonne, NJ 07002-1287 |
Judith Meer | Physical Therapy | United Sports Care and Physical Therapy | 33 W 8th St, Bayonne, NJ 07002-1287 |
Marco Antonio Pelosi Iii | Gynecological Oncology | 350 Kennedy Blvd, Bayonne, NJ 07002-1313 | |
Jay Michael Zelinski | Gastroenterology | 350 Kennedy Blvd, Bayonne, NJ 07002-1313 | |
Jolanta Potoczek-salahi | Family Medicine | New Jersey Medical and Health Associates LLC | 391 Kennedy Blvd, Bayonne, NJ 07002-1330 |
Francisco J Diaz | Family Medicine | New Jersey Medical and Health Associates LLC | 391 Kennedy Blvd, Bayonne, NJ 07002-1330 |
Margaret A Engel | Internal Medicine | 327 Ave C, Bayonne, NJ 07002-1403 | |
Find all physicians in zip 07002 |
City | BAYONNE |
Zip Code | 07002 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | BAYONNE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Edward S Fobben.
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.