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DR. MARTIN DAVID PELAVIN MD NPI 1386758217


NPI Information

NPI: 1386758217
Provider Name: DR. MARTIN DAVID PELAVIN, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
215 OLD TAPPAN ROAD
OLD TAPPAN, NJ
ZIP 07675
Phone: (201) 666-1000
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DR. Martin David Pelavin, MD is an internal medicine in Old Tappan, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Martin David Pelavin, MD NPI is 1386758217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

215 OLD TAPPAN ROAD
OLD TAPPAN, NJ
ZIP 07675
Phone: (201) 666-1000
Fax: (201) 666-4108

The NPI 1386758217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 11/17/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMA03311200NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010033112NJ01OTHERANTHEM HEALTH
2221941517003OTHERPRUDENTIAL
3C60308MEDICARE UPIN
4F01394OTHERHEALTHNET
580599OTHERAMERIGROUP
64250316OTHERAETNA
71819727OTHERUNITEDHLTHCR
84727908MEDICAIDNEW JERSEY
918362OTHERMASTERCARE
1013336OTHERUSHC
11998607OTHERREFERRAL
12221941517OTHERHORIZON BCBS
13294071OTHEREMPIRE HLTHCR
14BP028OTHEROXFORD
156445171002OTHERCIGNA
16468654BFLMEDICARE ID-TYPE UNSPECIFIED

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.