R M C N J PA; NPI #1770632879

Contact Information

R M C N J PA

667 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2177

Phone: 973-731-8112
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist/Technologist	225500000X

Indicates primary specialty

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NPI Profile & details for R M C N J PA

NPI Number 1770632879

LBN Legal business name R M C N J PA

Authorized official DOV RAND - (OWNER-PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/09/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

NJ	License #	25MA05832500
NJ	Medicaid	6543006
	Other	5444128	AETNA PIN
	Other	P2823540	OXFORD PIN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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R M C N J PA

Contact Information

Specialty

Specialist/Technologist

NPI Profile & details for R M C N J PA

Reviews for R M C N J PA