Richard Leon Podkul (NPI# 1083625693, PAC ID# 3274557186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1083625693 |
| PAC ID by PECOS | 3274557186 |
| Professional Enrollment ID | I20060118000865 |
| Full Name | Richard Leon Podkul |
| Address |
1064 Broad St Bloomfield NJ 07003-2808 |
| Phone Number | 9738930282 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310054 | HACKENSACKUMC MOUNTAINSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1064 Broad St, Bloomfield, NJ 07003-2808 | 9738930282 |
| Street Address |
1064 BROAD ST |
| City | BLOOMFIELD |
| State | NJ |
| Zip | 07003-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dehabah Sylvester | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Ajit Shah | Internal Medicine | 206 Belleview Ave, Suite 204 A, Bloomfield, NJ 07003 | |
| Michael Credico | Chiropractic | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Christopher W. Tuosto | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Tracey L Byrne | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Theresa Ong | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Philip T Casale | Chiropractic | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Khyati Shah | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Lauren Palang | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Intisar Ibrahim | Nurse Practitioner | Bloomfield Health Services, LLC | 322 Glenwood Ave, Bloomfield, NJ 07003-2413 |
| Find all physicians in zip 07003 | |||
| City | BLOOMFIELD |
| Zip Code | 07003 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BLOOMFIELD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Richard Leon Podkul.
| 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.