Dordaneh Maleki (NPI# 1356378574, PAC ID# 5698752715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
Nation Provider ID (NPI) | 1356378574 |
PAC ID by PECOS | 5698752715 |
Professional Enrollment ID | I20040706001237 |
Full Name | Dordaneh Maleki |
Organization Legal Name | DORDANEH MALEKI, LLC |
Address |
2500 English Creek Rd Bldg 700 702 Atlanticare Surgery Center Egg Harbor Twp NJ 08234-5549 |
Phone Number | 6094072200 |
Gender | F |
Credential | MD |
Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1990 |
Primary Specialty | GASTROENTEROLOGY |
Group Practice PAC ID | 6901829704 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310047 | SHORE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2500 English Creek Rd Bldg 700, 702 Atlanticare Surgery Center, Egg Harbor Twp, NJ 08234-5549 | 6094072200 | DORDANEH MALEKI, LLC |
Organization Legal Name | DORDANEH MALEKI, LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Theodore J Matulewicz Jr. | Pathology | Dordaneh Maleki, LLC | 2106 New Rd, Suite D5, Linwood, NJ 08221-1050 |
Street Address |
2500 ENGLISH CREEK RD BLDG 700 702 ATLANTICARE SURGERY CENTER |
City | EGG HARBOR TWP |
State | NJ |
Zip | 08234-5549 |
Name | Specialty | Organization | Address |
---|---|---|---|
Louis J Fornasier | Optometry | 6725 Black Horse Pike, Egg Harbor Twp, NJ 08234-3904 | |
Jack Shakarshy | Diagnostic Radiology | Atlantic Medical Imaging | 3100 Hingston Ave, Suite 102, Egg Harbor Twp, NJ 08234-4409 |
Alicia Lai | Podiatry | Foot and Ankle Center LLC | 3003 English Creek Ave, Suite C5, Egg Harbor Township, NJ 08234-4818 |
Deborah M Rosenfeld | Podiatry | Foot and Ankle Center LLC | 3003 English Creek Ave, Suite C5, Egg Harbor Township, NJ 08234-4818 |
Irina A Tsyganova | Podiatry | Foot and Ankle Center LLC | 3003 English Creek Ave, Suite C5, Egg Harbor Township, NJ 08234-4818 |
Howard J Gross | Ophthalmology | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
Jill J Rodio-vivadelli | Optometry | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
Nickolas Shissias | Optometry | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
Robert Frederick Nunn | Ophthalmology | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
Nicole M Pritz | Ophthalmology | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
Find all physicians in zip 08234 |
City | EGG HARBOR TWP |
Zip Code | 08234 |
Specialty | GASTROENTEROLOGY |
City + Specialty | EGG HARBOR TWP + GASTROENTEROLOGY |
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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.