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Contact Information

THOMAS R ORTIZ, MD
465 MT. PROSPECT AVE.
NEWARK, NJ07104
 Phone: 973-483-3640
 Fax: 973-483-0132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THOMAS R ORTIZ · (Male)

NPI Number 1750312450
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 03/03/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA 40692
  • NJ Medicaid 1259202
  • NJ Other 527732 MEDICARE GROUP
  • NJ Other 033691BXB MEDICARE GROUP SUFFIX
Hospital affiliation(s)
  • SAINT MICHAEL'S MEDICAL CENTER INC - (Acute Care)
    111 CENTRAL AVENUE
    NEWARK, NJ 07102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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