DR. MARTA S. DIAZ-PUPEK D.O. NPI 1891886214

NPI Information

NPI: 1891886214
Provider Name: DR. MARTA S. DIAZ-PUPEK, D.O.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
201 MULLICA HILL RD
GLASSBORO, NJ
ZIP 08028
Phone: (856) 256-4333
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DR. Marta S. Diaz-pupek, D.O. is a pediatrics in Glassboro, NJ. The provider is a pediatrician 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. DR. Marta S. Diaz-pupek, D.O. NPI is 1891886214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 MULLICA HILL RD
GLASSBORO, NJ
ZIP 08028-702
Phone: (856) 256-4333
Fax: (856) 256-5642

The enumeration date for this NPI number is 9/28/2006 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		25MB10292600	NEW JERSEY	Yes
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	C20004567	DELAWARE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	01720552	MEDICAID	NEW YORK
2	3312003	MEDICAID	MARYLAND
3	001532946	MEDICAID	PENNSYLVANIA
4	6709281	MEDICAID	VIRGINIA
5	6611303	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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