Konstantin Pertsovsky, DO
Internal Medicine in Wayne, New Jersey
1306876602- Practice location
- 510 Hamburg Tpke, Wayne Commons, Suite 101, Wayne, NJ 07470-2025
- Phone
- 973-942-6005
- Fax
- 973-942-6009
- Last updated
- November 6, 2014
Konstantin Pertsovsky is an Internal Medicine based in Wayne, NJ. Konstantin Pertsovsky practices in Wayne, NJ and has the professional credentials of DO. The NPI Number for Konstantin Pertsovsky is 1306876602 and holds a License No. 25MB07552900 (NJ). The current practice location address for Konstantin Pertsovsky is 510 Hamburg Tpke, Wayne Commons, Suite 101, Wayne, NJ 07470-2025 and can be reached out via phone at 973-942-6005 and via fax at 973-942-6009.
Provider Profile Details
- NPI Number
- 1306876602
- Provider Name
- Konstantin Pertsovsky
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 510 Hamburg Tpke, Wayne Commons, Suite 101, Wayne, NJ 07470-2025
- Phone Number
- 973-942-6005
- Fax Number
- 973-942-6009
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 3, 2006
- Last Update Date
- November 6, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 510 Hamburg Tpke
Wayne Commons, Suite 101
Wayne, NJ 07470-2025 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-2025
- Phone Number
- 973-942-6005
- Fax Number
- 973-942-6009
Provider Business Mailing Address Details
- Address
- 414 Lafayette Ave
Apt.a
Cliffside Park, NJ 07010-2024 - City
- Cliffside Park
- State
- NJ
- Zip
- 07010-2024
- Phone Number
- 201-840-4081
- Fax Number
- 201-840-4081
License Information
- License Number (1)
- 25MB07552900
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 214845
- License State (2)
- NY
- Taxonomy (2)
- Neuromusculoskeletal Medicine & OMM · 204D00000X
- License Number (3)
- 214845
- License State (3)
- NY
- Taxonomy (3)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Konstantin Pertsovsky, DO?
The NPI number of Konstantin Pertsovsky, DO is 1306876602. It was assigned on July 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Konstantin Pertsovsky, DO?
Konstantin Pertsovsky, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MB07552900.
Where does Konstantin Pertsovsky, DO practice?
The practice location is 510 Hamburg Tpke, Wayne Commons, Suite 101, Wayne, NJ 07470-2025. The office can be reached at 973-942-6005 (phone) or 973-942-6009 (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 1306876602 directly on the NPPES registry website.