Dr. Malkhazi Mikadze
MD | Pediatrics | Male
Dr. Malkhazi Mikadze, MD is a Hackensack, New Jersey based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Malkhazi Mikadze is
30 Prospect Ave, Pediatrics Dept, Hackensack, New Jersey - 07601-1914. He can be contacted on phone at
201-996-2000.
Dr. Malkhazi Mikadze is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Malkhazi Mikadze is
1033150099 which was assigned by NPPES on 09 Jun, 2006 and it was last updated on 08 Jul, 2007.
Dr. Malkhazi Mikadze license number is
25MA07954800 for Pediatrics (208000000X) in New Jersey.
Dr. Malkhazi Mikadze is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Malkhazi Mikadze basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Malkhazi Mikadze |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Malkhazi Mikadze address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 30 Prospect Ave, Pediatrics Dept
Hackensack, NJ, 07601-1914
United States |
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| Phone Number : | 201-996-2000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033150099 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jun, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Medicare Participation:
Dr. Malkhazi Mikadze participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2466472857 |
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| Medicare Enrollment ID : | I20051201000199 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1992 |
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| Accepts Medicare? | Yes. Dr. Malkhazi Mikadze accepts medicare insurance. |
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Group Practice Association:
Dr. Malkhazi Mikadze is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Malkhazi Mikadze is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 995 | 30 Prospect Ave
Hackensack, NJ - 076011915
Ph: 5519965045 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Malkhazi Mikadze are as mentioned. Primary taxonomy code for Dr. Malkhazi Mikadze, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 25MA07954800 | NJ |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 224 E Northfield Rd
Livingston, NJ, 07039-4801
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Malkhazi Mikadze practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.