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 | 208D00000X | General Practice | | MA40233 | NEW JERSEY | Yes |
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 |
Other Provider Identifier Issuer |
| 1 | 223649732 | OTHER | | UNITED HEALTHCARE |
| 2 | P2943261 | OTHER | | OXFORD HEALTH PLAN |
| 3 | E08727 | OTHER | | AMERIHEALTH ADMINISTRATOR |
| 4 | 223649732 | OTHER | NEW JERSEY | HORIZON BLUE CROSS AND BL |
| 5 | 208136 | OTHER | | UNITED HEALTHCARE PIN |
| 6 | 223649732 | OTHER | | CIGNA |
| 7 | 4316089 | OTHER | | AETNA PIN |
| 8 | P00283695 | MEDICARE ID-TYPE UNSPECIFIED | | RAILROAD |
| 9 | 1K3854 | OTHER | | HEALTH NET OF NORTHEAST |
| 10 | E70394 | MEDICARE UPIN | | |
| 11 | 053172 | MEDICARE ID-TYPE UNSPECIFIED | | |
| 12 | 223649732 | OTHER | | AETNA |
| 13 | 0270857001 | OTHER | NEW JERSEY | AMERIHEALTH |
| 14 | 508727 | OTHER | PENNSYLVANIA | BLUE CROSS AND BLUE SHIEL |
| 15 | 53172 | OTHER | | HIGHMARK BLUE CROSS BLUE |
