1336129071 NPI number — MICHAEL R AARON D.O.

Table of content: MICHAEL R AARON D.O. (NPI 1336129071)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336129071 NPI number — MICHAEL R AARON D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AARON
Provider First Name:
MICHAEL
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336129071
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/20/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1820 STATE ROUTE 33
Provider Second Line Business Mailing Address:
STE 4B
Provider Business Mailing Address City Name:
NEPTUNE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07753-4860
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-776-8500
Provider Business Mailing Address Fax Number:
732-988-2347

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1820 STATE ROUTE 33
Provider Second Line Business Practice Location Address:
SUITE 4B
Provider Business Practice Location Address City Name:
NEPTUNE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07753-4860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-776-8500
Provider Business Practice Location Address Fax Number:
732-988-2347
Provider Enumeration Date:
01/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207UN0901X , with the licence number:  25MB05900200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 25MB05900200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 060029491 . This is a "RRMC" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 456694 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: M0000005000 . This is a "AMERICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0004329340 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0660785000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 223247181 . This is a "HORIZON BCBS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 71427030 . This is a "TRICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 54B13 . This is a "EMPIRE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1319950 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223247181 . This is a "CHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: MS389 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0K3050 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 19105-04 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223247181001 . This is a "QUALCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6064001 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0457011010 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1040688 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2101078 . This is a "GHI" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com