Organization
PASCACK HOSPITAL PHYSICIANS SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP LA STELLA MD (PRESIDENT)
(201) 358-3000
Entity
Organization
Contact information
Practice address
250 OLD HOOK RD, WESTWOOD, NJ 07675-3123
(201) 358-3000
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0955550
AMERIGROUP
NJ
01
—
1153677
HORIZON NJ HEALTH
NJ
01
—
381590
AMERIHEALTH
NJ
05
—
7260407
—
NJ
01
—
CN2025
RAILROAD MEDICARE
NJ
01
—
G620668
OXFORD
NJ
Enumeration date
01/16/2007
Last updated
07/21/2022
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