Kenneth W Faistl (NPI# 1154395622, PAC ID# 5597660589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154395622 |
| PAC ID by PECOS | 5597660589 |
| Professional Enrollment ID | I20031203000449 |
| Full Name | Kenneth W Faistl |
| Organization Legal Name | MERIDIAN MEDICAL GROUP PRIMARY CARE PC |
| Address |
3 Hospital Plz Suite 314 Old Bridge NJ 08857-3096 |
| Phone Number | 7323603522 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911003330 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310111 | CENTRASTATE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3 Hospital Plz, Suite 314, Old Bridge, NJ 08857-3096 | 7323603522 | MERIDIAN MEDICAL GROUP PRIMARY CARE PC |
| Organization Legal Name | MERIDIAN MEDICAL GROUP PRIMARY CARE PC |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna Marie Mckinnon | Nurse Practitioner | Meridian Medical Group Primary Care PC | 1868 Hooper Ave, Toms River, NJ 08753-8175 |
| Melissa A Thompson | Nurse Practitioner | Meridian Medical Group Primary Care PC | 355 Lakehurst Rd, Toms River, NJ 08755-7381 |
| Opal Thakar | Family Medicine | Meridian Medical Group Primary Care PC | 2 -12 Corbett Way, Suite 102, Eatontown, NJ 07724-4251 |
| Satish K. Bhutani | Internal Medicine | Meridian Medical Group Primary Care PC | 985 Cedar Bridge Ave, Brick, NJ 08723-4167 |
| Rachel Hollywood | Nurse Practitioner | Meridian Medical Group Primary Care PC | 1400 Hwy 35, Suite 1, Ocean, NJ 07712-3548 |
| Laura Tavarez | Family Medicine | Meridian Medical Group Primary Care PC | 138 Route 9, Forked River, NJ 08731-3625 |
| Christine M Coyle | Nurse Practitioner | Meridian Medical Group Primary Care PC | 4764 Route 9 S, Howell, NJ 07731-3354 |
| Jennifer M Reimer | Internal Medicine | Meridian Medical Group Primary Care PC | 800 Route 88, Suite 3, Point Pleasant Boro, NJ 08742-4085 |
| Katie E Kunamneni | Internal Medicine | Meridian Medical Group Primary Care PC | 735 N Beers St, 2nd Floor, Holmdel, NJ 07733-1513 |
| Margaret Black | Nurse Practitioner | Meridian Medical Group Primary Care PC | 850 W Bay Ave, Barnegat, NJ 08005-2185 |
| Street Address |
3 HOSPITAL PLZ SUITE 314 |
| City | OLD BRIDGE |
| State | NJ |
| Zip | 08857-3096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay Saaraswat | Internal Medicine | Vijay Saaraswat Medical LLC | 3 Hospital Plz, Suite 409, Old Bridge, NJ 08857-3097 |
| Corinne R Kauderer | Podiatry | 3 Hospital Plz, Suite 204, Old Bridge, NJ 08857-3084 | |
| Sandra C Nagy | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 3 Hospital Plz, Old Bridge, NJ 08857-3093 |
| Adeyemi Iyanoye | Cardiovascular Disease (cardiology) | Meridian Medical Group-specialty Care PC | 3 Hospital Plz, Suite 203, Old Bridge, NJ 08857-3084 |
| Sandra P Fahmy | Family Medicine | Meridian Medical Group Primary Care PC | 3 Hospital Plz, Suite 304, Old Bridge, NJ 08857-3095 |
| Charles Fernandez Chong | General Practice | Highland-clarksburg Hospital | 3 Hospital Plz, Clarksburg, WV 26301-9316 |
| Ayotunde O Adeyeri | General Surgery | 3 Hospital Plz, Suite 206, Old Bridge, NJ 08857-3084 | |
| Deborah L Loring | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 3 Hospital Plz, Old Bridge, NJ 08857-3093 |
| Jennifer Csw Rerngsamai | Clinical Social Worker | Meridian Medical Group Faculty Practice PC | 3 Hospital Plz, Suite 302, Old Bridge, NJ 08857-3095 |
| Rajinder Sharma | General Surgery | Meridian Medical Group-specialty Care PC | 3 Hospital Plz, Old Bridge, NJ 08857-3093 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew M Gollup | Internal Medicine | 145 Rte, Suite 34, Old Bridge, NJ 08857 | |
| Nikolai Y Markov | General Surgery | 3 Hospital Plaza, Suite 206, Old Bridge, NJ 08857 | |
| Shirish R Godbole | Occupational Therapy | 40 Route 34 F, Old Bridge, NJ 08857 | |
| Ira A Shapiro | Chiropractic | 1314 Englishtown Rd, Old Bridge, NJ 08857-1580 | |
| Vladimir Klebanov | Psychiatry | 2101 Hwy 516 B, Old Bridge, NJ 08857-1741 | |
| Sharon L Ryan | Family Medicine | Robert Wood Johnson Physician Enterprise | 2107 Hwy 516, Old Bridge, NJ 08857-1746 |
| Beth A Balinski | Family Medicine | Robert Wood Johnson Physician Enterprise | 2107 Hwy 516, Old Bridge, NJ 08857-1746 |
| Jonnie M Robinson | Family Medicine | Robert Wood Johnson Physician Enterprise | 2107 Hwy 516, Old Bridge, NJ 08857-1746 |
| Anthony John Deluca | Chiropractic | 2309 Hwy 516, Old Bridge, NJ 08857-1865 | |
| Vladimir Rukshin | Cardiovascular Disease (cardiology) | 2433 Hwy 516 B, Old Bridge, NJ 08857-1899 | |
| Find all physicians in zip 08857 | |||
| City | OLD BRIDGE |
| Zip Code | 08857 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OLD BRIDGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth W Faistl.
| 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.