Elliot L Shulman (NPI# 1023037058, PAC ID# 9032397963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1023037058 |
| PAC ID by PECOS | 9032397963 |
| Professional Enrollment ID | I20110624000143 |
| Full Name | Elliot L Shulman |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Address |
807 Kennedy Blvd Suite A Bayonne NJ 07002-2983 |
| Phone Number | 2013395799 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1990 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1456535392 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310025 | BAYONNE MEDICAL CENTER |
| 310016 | CAREPOINT HEALTH-CHRIST HOSPITAL |
| 310074 | JERSEY CITY MEDICAL CENTER |
| 310045 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 807 Kennedy Blvd, Suite A, Bayonne, NJ 07002-2983 | 2013395799 | SOVEREIGN MEDICAL GROUP LLC |
| 2255 John F Kennedy Blvd, Jersey City, NJ 07304-1428 | 2014331057 | SOVEREIGN MEDICAL GROUP LLC |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Bellapianta | Otolaryngology | Sovereign Medical Group LLC | 85 Harristown, Suite 105, Glen Rock, NJ 07452-3307 |
| Raffaella L Kalishman | Internal Medicine | Sovereign Medical Group LLC | 85 Harristown Rd, Suite 104, Glen Rock, NJ 07452-3323 |
| Albert O Kwon | Colorectal Surgery (proctology) | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Andranik Howhannesian | Urology | Sovereign Medical Group LLC | 14 -01 Broadway, Suite 3, Fair Lawn, NJ 07410-2008 |
| Jerry Silver | Otolaryngology | Sovereign Medical Group LLC | 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 |
| Joel Abramowitz | Urology | Sovereign Medical Group LLC | 8100 Kennedy Blvd, North Bergen, NJ 07047-4254 |
| Richard Maggio | Urology | Sovereign Medical Group LLC | 2071 Clove Rd J, Staten Island, NY 10304-1612 |
| Scott A Goler | Podiatry | Sovereign Medical Group LLC | 265 E 33rd St, Paterson, NJ 07504-1668 |
| Morteza Shahamat | Internal Medicine | Sovereign Medical Group LLC | 400 Franklin Tpke, Suite 104, Mahwah, NJ 07430-3517 |
| Jay M Kashkin | Pediatric Medicine | Sovereign Medical Group LLC | 23-00 Route 208, Suite 2 1, Fair Lawn, NJ 07410-1558 |
| Street Address |
807 KENNEDY BLVD SUITE A |
| City | BAYONNE |
| State | NJ |
| Zip | 07002-2983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ira M Brooks | Internal Medicine | 807 Kennedy Blvd, Bayonne, NJ 07002-2983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Coachman | Chiropractic | 7 W 8th St, Bayonne, NJ 07002-1201 | |
| Zbigniew Md Moszczynski | General Surgery | 31 W 8th St, Bayonne, NJ 07002-1201 | |
| Justine Pawlukewicz | Clinical Social Worker | 103 W 8th St, Bayonne, NJ 07002-1202 | |
| Hani M Rizk | Physical Therapy | Sportscare of America, PC | 33 W 8th St, Bayonne, NJ 07002-1287 |
| Judith Meer | Physical Therapy | United Sports Care and Physical Therapy | 33 W 8th St, Bayonne, NJ 07002-1287 |
| Marco Antonio Pelosi Iii | Gynecological Oncology | 350 Kennedy Blvd, Bayonne, NJ 07002-1313 | |
| Jay Michael Zelinski | Gastroenterology | 350 Kennedy Blvd, Bayonne, NJ 07002-1313 | |
| Jolanta Potoczek-salahi | Family Medicine | New Jersey Medical and Health Associates LLC | 391 Kennedy Blvd, Bayonne, NJ 07002-1330 |
| Francisco J Diaz | Family Medicine | New Jersey Medical and Health Associates LLC | 391 Kennedy Blvd, Bayonne, NJ 07002-1330 |
| Margaret A Engel | Internal Medicine | 327 Ave C, Bayonne, NJ 07002-1403 | |
| Find all physicians in zip 07002 | |||
| City | BAYONNE |
| Zip Code | 07002 |
| Specialty | UROLOGY |
| City + Specialty | BAYONNE + UROLOGY |
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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.