Martin David Pelavin in Old Tappan - Internal Medicine

Martin David Pelavin - NPI 1386758217

Martin David Pelavin is a Internal Medicine in Old Tappan, New Jersey. Martin David Pelavin practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Martin David Pelavin is 1386758217. The last update date is 2009-11-17.

Martin David Pelavin's current location address is 215 Old Tappan Road, Old Tappan, New Jersey. You can contact this provider via phone number 2016661000 and fax number 2016664108. The mailing address for Martin David Pelavin is 215 Old Tappan Road, Old Tappan, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin David Pelavin
Address 215 Old Tappan Road, Old Tappan, New Jersey
Phone Number 2016661000
Fax Number 2016664108
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386758217
Provider Enumeration Date 2006-08-18
Last Updated Date 2009-11-17

Provider Mailing Address Detail

Address 215 Old Tappan Road
City Old Tappan
State New Jersey (NJ)
Post Code 7675
Phone Number 2016661000
Fax Number 2016664108

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MA03311200
Definition:
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 di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4250316 AETNA
998607 REFERRAL
1819727 UNITEDHLTHCR
18362 MASTERCARE
221941517003 PRUDENTIAL
294071 EMPIRE HLTHCR
4727908 NJ --
BP028 OXFORD
F01394 HEALTHNET
6445171002 CIGNA

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FAQs about Martin David Pelavin

What is the unique 10-digit identifier code assigned to Martin David Pelavin by the Centers for Medicare & Medicaid Services?

The Martin David Pelavin has been issued the NPI (National Provider Identifier) 1386758217 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Martin David Pelavin is geographically located?

The Martin David Pelavin is physically situated at the following location: 215 Old Tappan Road, Old Tappan, NJ, 7675.

What is Martin David Pelavin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Martin David Pelavin is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

When did the Martin David Pelavin receive its 1386758217?

The Martin David Pelavin was issued its 1386758217 on 2006-08-18, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Martin David Pelavin most recently updated or revised?

The details related to Martin David Pelavin, including its address, specialty, and other relevant information, were last updated or revised on 2009-11-17.

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