Kevin J Mickey (NPI# 1538101662, PAC ID# 1355332081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1538101662 |
| PAC ID by PECOS | 1355332081 |
| Professional Enrollment ID | I20040521000240 |
| Full Name | Kevin J Mickey |
| Organization Legal Name | PEDIATRIC OPHTHALMOLOGY OF NJ, P.C. |
| Address |
57 Willowbrook Blvd Suite 411 Wayne NJ 07470-7045 |
| Phone Number | 9732564111 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1986 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0042314999 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7045 | 9732564111 | PEDIATRIC OPHTHALMOLOGY OF NJ, P.C. |
| Organization Legal Name | PEDIATRIC OPHTHALMOLOGY OF NJ, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry Yang | Ophthalmology | Pediatric Ophthalmology of Nj, P.C. | 57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7045 |
| Street Address |
57 WILLOWBROOK BLVD SUITE 411 |
| City | WAYNE |
| State | NJ |
| Zip | 07470-7045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick V Perin | Allergy/immunology | Allergy Partners of Nj PC | 57 Willowbrook Blvd, Suite 303, Wayne, NJ 07470-7045 |
| Karmina Choi | General Surgery | St Josephs Healthcare Inc | 57 Willowbrook Blvd, Wayne, NJ 07470-7045 |
| Sherry Yang | Ophthalmology | Pediatric Ophthalmology of Nj, P.C. | 57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7045 |
| Cindy C Chang | Allergy/immunology | Allergy Partners of Nj PC | 57 Willowbrook Blvd, Suite 303, Wayne, NJ 07470-7045 |
| Sarah A Barber | Obstetrics/gynecology | St Josephs Healthcare Inc | 57 Willowbrook Blvd, Wayne, NJ 07470-7045 |
| Jennifer Y Greene | Obstetrics/gynecology | 57 Willowbrook Blvd, Wayne, NJ 07470-7045 | |
| Roger P Kierce | Obstetrics/gynecology | 57 Willowbrook Blvd, Suite 301, Wayne, NJ 07470-7047 | |
| Sam H Hessami | Obstetrics/gynecology | St Josephs Healthcare Inc | 57 Willowbrook Blvd, Wayne, NJ 07470-7045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svetlana Grintsvayg | Clinical Social Worker | 1680 Route 23 N 310, Psychotherapy for All Ages, Wayne, NJ 07470 | |
| Paul T Staunton | Podiatry | 11 Windsor Pl, Wayne, NJ 07470-1923 | |
| Greg Steven Trentacosta | Chiropractic | 1565 Ratzer Rd, Wayne, NJ 07470-1930 | |
| Susanna N Ho | Occupational Therapy | 504 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2011 | |
| Lisa A Dragone | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Cherrielyn B Escono-quiambao | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Beatrice Carrillo | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Michael H. Leonardo | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Anthony Barravecchio | Family Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Nafeesa Siddiqui | Psychiatry | 510 Hamburg Tpke, Suite E106, Wayne, NJ 07470-2025 | |
| Find all physicians in zip 07470 | |||
| City | WAYNE |
| Zip Code | 07470 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WAYNE + OPHTHALMOLOGY |
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| 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.