Minbae Kim (NPI# 1588647614, PAC ID# 9335248806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1588647614 |
| PAC ID by PECOS | 9335248806 |
| Professional Enrollment ID | I20100526000452 |
| Full Name | Minbae Kim |
| Organization Legal Name | MARIO GONZALEZ, MD |
| Address |
268 Dr M L King Jr Blvd Newark NJ 07102-2011 |
| Phone Number | 9738775200 |
| Gender | F |
| Graduation Year | 1981 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3779509641 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310054 | HACKENSACKUMC MOUNTAINSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1 Hamilton Health Pl, Hamilton, NJ 08690-3542 | 9738775200 | MARIO GONZALEZ, MD |
| 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 | 9738775200 | MARIO GONZALEZ, MD |
| Organization Legal Name | MARIO GONZALEZ, MD |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghassan G Bassil | Pathology | Mario Gonzalez, Md | 350 Boulevard, Passaic, NJ 07055-2840 |
| Eliezer M Seguerra Jr. | Pathology | Mario Gonzalez, Md | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Gregory M Fernandes | Pathology | Mario Gonzalez, Md | 350 Boulevard, Passaic, NJ 07055-2840 |
| John R Protic | Pathology | Mario Gonzalez, Md | 1 Hamilton Health Pl, Hamilton, NJ 08690-3542 |
| Daniel D Tang | Pathology | Mario Gonzalez, Md | 111 Central Ave, Newark, NJ 07102-1909 |
| Alireza Zarineh | Pathology | Mario Gonzalez, Md | 25 Pocono Rd, Denville, NJ 07834-2954 |
| Nalini S Parikh | Pathology | Mario Gonzalez, Md | 111 Central Ave, Newark, NJ 07102-1909 |
| Mark Christopher | Pathology | Mario Gonzalez, Md | 1 Hamilton Health Pl, Hamilton, NJ 08690-3542 |
| Mario S Gonzalez | Pathology | Mario Gonzalez, Md | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Street Address |
268 DR M L KING JR BLVD |
| City | NEWARK |
| State | NJ |
| Zip | 07102-2011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahsan M Kazmi | Internal Medicine | Central Avenue Professional Services, PC | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Shravan R Kambam | Radiation Oncology | Central Avenue Professional Services, PC | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Eliezer M Seguerra Jr. | Pathology | Mario Gonzalez, Md | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| L D Howard | Obstetrics/gynecology | Central Avenue Professional Services, PC | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Lavinia Paige Moeller | General Surgery | Central Avenue Professional Services, PC | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Fayez Shamoon | Cardiovascular Disease (cardiology) | Comprehensive Cardiovascular Consultants PC | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Mirette G Habib | Cardiovascular Disease (cardiology) | Comprehensive Cardiovascular Consultants PC | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Debbie Y Mohammed | Nurse Practitioner | Central Avenue Professional Services, PC | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Arthur D Siegel | Internal Medicine | Central Avenue Professional Services, PC | 268 Dr M L King Jr Blvd, Newark, NJ 07102-2011 |
| Teresa O Madrid | Internal Medicine | 268 Dr M L King Jr Blvd, Bldg B Level 4, Newark, NJ 07102-2011 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hortensia Kelly | Family Medicine | City of Newark | 110 William St, Newark Department of Health and Hum, Newark, NJ 07102-1304 |
| Wanda E Figueroa | Internal Medicine | City of Newark | 110 William St, Newark Department of Health and Hum, Newark, NJ 07102-1304 |
| Jeliah Akombe | Nurse Practitioner | City of Newark | 110 William St, Newark Department of Health and Hum, Newark, NJ 07102-1304 |
| Maxine Facey | Internal Medicine | City of Newark | 110 William St, Newark Department of Health and Hum, Newark, NJ 07102-1304 |
| Isaac O'neal | Internal Medicine | City of Newark | 110 William St, Newark Department of Health and Hum, Newark, NJ 07102-1304 |
| Dipti Padhiar | Nurse Practitioner | City of Newark | 110 William St, Newark Department of Health and Hum, Newark, NJ 07102-1304 |
| Nilesh U Patel | Cardiac Surgery | Advanced Cardiovascular Specialists, LLC | 111 Central Ave, Newark, NJ 07102-1909 |
| Akbar H Noormohamed | Emergency Medicine | Nes Georgia Inc | 111 Central Ave, Newark, NJ 07102-1909 |
| Vinay M Tak | Cardiac Surgery | Advanced Cardiovascular Specialists, LLC | 111 Central Ave, Newark, NJ 07102-1909 |
| Mrinal Koul | Obstetrics/gynecology | 111 Central Ave, Newark, NJ 07102-1909 | |
| Find all physicians in zip 07102 | |||
| City | NEWARK |
| Zip Code | 07102 |
| Specialty | PATHOLOGY |
| City + Specialty | NEWARK + PATHOLOGY |
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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.