Active NPIIndividual provider

Mr. Ori A Rackovsky, MD

Internal Medicine, Gastroenterology in Wayne, New Jersey

NPI Number1245505601
Practice location
468 Parish Dr Ste 6, Wayne, NJ 07470-4671
Fax
973-952-6248
Last updated
August 9, 2023

Ori Avraham Rackovsky is an Internal Medicine, Gastroenterology based in Wayne, NJ. Ori Avraham Rackovsky practices in Wayne, NJ and has the professional credentials of MD. The NPI Number for Ori Avraham Rackovsky is 1245505601 and holds a License No. 25MA10376500 (NJ). The current practice location address for Ori Avraham Rackovsky is 468 Parish Dr Ste 6, Wayne, NJ 07470-4671 and can be reached out via phone at 973-988-2100 and via fax at 973-952-6248.

Provider Profile Details

NPI Number
1245505601
Provider Name
Ori Avraham Rackovsky
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
468 Parish Dr Ste 6, Wayne, NJ 07470-4671
Phone Number
973-988-2100
Fax Number
973-952-6248
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
March 19, 2012
Last Update Date
August 9, 2023
Certification Date
August 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
468 Parish Dr Ste 6
Wayne, NJ 07470-4671
City
Wayne
Zip
07470-4671
Phone Number
973-988-2100
Fax Number
973-952-6248
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
1130 Mcbride Avenue
3RD Floor
Woodland Park, NJ 07424
City
Woodland Park
State
NJ
Zip
07424
Phone Number
973-812-1400
Fax Number
973-812-1404

License Information

License Number
25MA10376500
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Ori A Rackovsky, MD?

The NPI number of Mr. Ori A Rackovsky, MD is 1245505601. It was assigned on March 19, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Ori A Rackovsky, MD?

Mr. Ori A Rackovsky, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA10376500.

Where does Mr. Ori A Rackovsky, MD practice?

The practice location is 468 Parish Dr Ste 6, Wayne, NJ 07470-4671. The office can be reached at 973-988-2100 (phone) or 973-952-6248 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245505601 directly on the NPPES registry website.

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