Mary T Mitskavich (NPI# 1457355117, PAC ID# 8325141575) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1457355117 |
| PAC ID by PECOS | 8325141575 |
| Professional Enrollment ID | I20100824000875 |
| Full Name | Mary T Mitskavich |
| Organization Legal Name | COASTAL EAR NOSE AND THROAT LLC |
| Address |
3700 State Route 33 Neptune NJ 07753-3268 |
| Phone Number | 7322807855 |
| Gender | F |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2264536697 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310073 | JERSEY SHORE UNIVERSITY MEDICAL CENTER |
| 310113 | SOUTHERN OCEAN MEDICAL CENTER |
| 310112 | BAYSHORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3700 State Route 33, Neptune, NJ 07753-3268 | 7322807855 | COASTAL EAR NOSE AND THROAT LLC |
| Organization Legal Name | COASTAL EAR NOSE AND THROAT LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel H Engel | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Jacob Seth Mcafee | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Victoria M Bones | Otolaryngology | Coastal Ear Nose and Throat LLC | 100 Commons Way, Suite 210, Holmdel, NJ 07733-2936 |
| Courtney Casler Cieri | Qualified Audiologist | Coastal Ear Nose and Throat LLC | 100 Commons Way, Suite 210, Holmdel, NJ 07733-2936 |
| Brad M Buchholtz | Qualified Audiologist | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Eleni Mitoulis | Qualified Audiologist | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Amit N Bhojwani | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Sean David Houston | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Stephanie M Detone | Qualified Audiologist | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Qasim Husain | Otolaryngology | Coastal Ear Nose and Throat LLC | 100 Commons Way, Suite 210, Holmdel, NJ 07733-2936 |
| Street Address |
3700 STATE ROUTE 33 |
| City | NEPTUNE |
| State | NJ |
| Zip | 07753-3268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel H Engel | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Jacob Seth Mcafee | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Brad M Buchholtz | Qualified Audiologist | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Eleni Mitoulis | Qualified Audiologist | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Amit N Bhojwani | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Sean David Houston | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Stephanie M Detone | Qualified Audiologist | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Josef Shargorodsky | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Danielle Wall | Qualified Audiologist | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Kenneth A Newkirk | Otolaryngology | Coastal Ear Nose and Throat LLC | 3700 State Route 33, Neptune, NJ 07753-3268 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney G Dougherty | Psychologist, Clinical | Comprehensive Psychology System PC | 2100 Route 33, Neptune City, NJ 07753 |
| Diane M. Deitz | Nurse Practitioner | Hmh Hospitals Corporation | 1945 Rt, Suite 33, Neptune, NJ 07753 |
| Sarah J Spader | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Sandeep J Amin | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Anita Lucille Keelan | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Caitlin Mary Mcguire | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Namita J Gupta | Pathology | Atlantic Coast Urology,pa | 1944 Corlies Ave, Suite 101, Neptune, NJ 07753 |
| Matthew S Tobin | Urology | Atlantic Coast Urology,pa | 1944 Corlies Ave, Suite 101, Neptune, NJ 07753 |
| Abimbola B Pratt | General Surgery | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Allison M Whitecavage | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Find all physicians in zip 07753 | |||
| City | NEPTUNE |
| Zip Code | 07753 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | NEPTUNE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Mary T Mitskavich.
| 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.