1619173192 NPI number — ANUJA ROHATGI M.D.P.C.

Table of content: (NPI 1619173192)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619173192 NPI number — ANUJA ROHATGI M.D.P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANUJA ROHATGI M.D.P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1619173192
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/18/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
117 N 4TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EASTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18042-3503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-559-0661
Provider Business Mailing Address Fax Number:
610-559-7416

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
117 N 4TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EASTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18042-3503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-559-0661
Provider Business Practice Location Address Fax Number:
610-559-7416
Provider Enumeration Date:
06/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ROHATGI
Authorized Official First Name:
ANUJA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRIMARY CARE PHYSICIAN
Authorized Official Telephone Number:
610-559-0661

Provider Taxonomy Codes

  • Taxonomy code: 170100000X , with the licence number:  MD070834L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: P003167 . This is a "GATEWAY MEDICARE ASSURED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2279898000 . This is a "AMERIHEALTH MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7295262 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 8073224 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0018245200001 . This is a "MEDICAL ASSISTANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1600530 . This is a "PA BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P00127629 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P3211469 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P003167 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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