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DIABETES & ENDOCRINOLOGY ASSOCIATES OF SOUTH JERSEY NPI 1902011869


NPI Information

NPI: 1902011869
Provider Name: DIABETES & ENDOCRINOLOGY ASSOCIATES OF SOUTH JERSEY
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1676 E LANDIS AVE
VINELAND, NJ
ZIP 08361
Phone: (856) 262-4681
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DIABETES & ENDOCRINOLOGY ASSOCIATES OF SOUTH JERSEY is an endocrinology and diabetes and metabolism internal medicine in Vineland, NJ. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DIABETES & ENDOCRINOLOGY ASSOCIATES OF SOUTH JERSEY NPI is 1902011869. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1676 E LANDIS AVE
VINELAND, NJ
ZIP 08361-943
Phone: (856) 262-4681
Fax: (856) 262-2376

The provider's authorized official is Rishi K Rastogi .
The authorized official title is President and has the following contact phone number (856) 262-4681.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismMA058973NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17520301MEDICAIDNEW JERSEY

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: 5/5/2024

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