Anna Dedona (NPI# 1194721902, PAC ID# 6507900065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1194721902 |
| PAC ID by PECOS | 6507900065 |
| Professional Enrollment ID | I20100222000400 |
| Full Name | Anna Dedona |
| Organization Legal Name | SOMC MEDICAL GROUP PC |
| Address |
2125 Route 88 E Brick NJ 08724-3273 |
| Phone Number | 7328924548 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4587799358 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310052 | OCEAN MEDICAL CENTER |
| 310041 | COMMUNITY MEDICAL CENTER |
| 310011 | CAPE REGIONAL MEDICAL CENTER INC |
| 310084 | MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 2125 Route 88 E, Brick, NJ 08724-3273 | 7328924548 | SOMC MEDICAL GROUP PC |
| 9 Mule Rd, Toms River, NJ 08755-5043 | 7327971535 | SOMC MEDICAL GROUP PC |
| Organization Legal Name | SOMC MEDICAL GROUP PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick Rothberg | Podiatry | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| Arthur H Braunwell | Family Medicine | Somc Medical Group PC | 901 Long Beach Blvd, Ship Bottom, NJ 08008-6301 |
| David E Konigsberg | Family Medicine | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| Elizabeth Ann Noller | Nurse Practitioner | Somc Medical Group PC | 27 S Cooks Bridge, Suite 2, Jackson, NJ 08527-2524 |
| Caitlyn Krichman | Nurse Practitioner | Somc Medical Group PC | 27 S Cooks Bridge, Suite 2, Jackson, NJ 08527-2524 |
| Christopher W. Zukowski | Internal Medicine | Somc Medical Group PC | 27 S Cooks Bridge, Suite 2, Jackson, NJ 08527-2524 |
| Mary C Okeefe | Emergency Medicine | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| Stephanie Ann Papa | Nurse Practitioner | Somc Medical Group PC | 27 S Cooks Bridge, Suite 2, Jackson, NJ 08527-2524 |
| Jay A Vida | Internal Medicine | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| Wael Elsamman | General Practice | Somc Medical Group PC | 9 Mule Rd, Toms River, NJ 08755-5043 |
| Street Address |
2125 ROUTE 88 E |
| City | BRICK |
| State | NJ |
| Zip | 08724-3273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick Rothberg | Podiatry | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| David E Konigsberg | Family Medicine | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| Mary C Okeefe | Emergency Medicine | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| Jay A Vida | Internal Medicine | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| Michael Rothberg | Internal Medicine | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| Alexander Kulczycki | Internal Medicine | Somc Medical Group PC | 2125 Route 88 E, Brick, NJ 08724-3273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandy Everett | Occupational Therapy | Bancroft Rehabilitation Services | 1608 New Jersey, Brick, NJ 08724 |
| James E Rotolo | Urology | James E. Rotolo, M.d., F.a.c.s., P.a. | 1696 Route 88 1st, Brick, NJ 08724 |
| Donna M Merchant | Qualified Audiologist | 1673 Rt 88, Brick, NJ 08724 | |
| Sharon S Smith-tumpey | Chiropractic | 142 Natick Trail, Brick, NJ 08724 | |
| Bridget N Bielskie | Physical Therapy | Sportscare of America, PC | 1161 Burnt Tavern Rd, Brick, NJ 08724-1472 |
| Darlene Morgan | Obstetrics/gynecology | Brick Women's Physicians | 1140 Burnt Tavern Rd, Suite 2a, Brick, NJ 08724-1496 |
| Paul Vetter | Obstetrics/gynecology | Brick Women's Physicians | 1140 Burnt Tavern Rd, Suite 2a, Brick, NJ 08724-1496 |
| Peter A Ottone | Chiropractic | 1140 Burnt Tavern Rd, Suite 1c, Brick, NJ 08724-1496 | |
| Ann M Pagano | Obstetrics/gynecology | Brick Women's Physicians | 1140 Burnt Tavern Rd, Suite 2a, Brick, NJ 08724-1496 |
| Tracy Goldych | Chiropractic | 1140 Burnt Tavern Rd, 1c, Brick, NJ 08724-1496 | |
| Find all physicians in zip 08724 | |||
| City | BRICK |
| Zip Code | 08724 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRICK + INTERNAL MEDICINE |
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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.