Active NPIIndividual provider

Dr. Martin D Pelavin, MD

Internal Medicine in Old Tappan, New Jersey

NPI Number1386758217
Practice location
215 Old Tappan Road, Old Tappan, NJ 07675
Fax
201-666-4108
Last updated
November 17, 2009

Martin David Pelavin is an Internal Medicine based in Old Tappan, NJ. Martin David Pelavin practices in Old Tappan, NJ and has the professional credentials of MD. The NPI Number for Martin David Pelavin is 1386758217 and holds a License No. MA03311200 (NJ). The current practice location address for Martin David Pelavin is 215 Old Tappan Road, Old Tappan, NJ 07675 and can be reached out via phone at 201-666-1000 and via fax at 201-666-4108.

Provider Profile Details

NPI Number
1386758217
Provider Name
Martin David Pelavin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
215 Old Tappan Road, Old Tappan, NJ 07675
Phone Number
201-666-1000
Fax Number
201-666-4108
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2006
Last Update Date
November 17, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 Old Tappan Road
Old Tappan, NJ 07675
Zip
07675
Phone Number
201-666-1000
Fax Number
201-666-4108
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
215 Old Tappan Road
Old Tappan, NJ 07675
City
Old Tappan
State
NJ
Zip
07675
Phone Number
201-666-1000
Fax Number
201-666-4108

License Information

License Number
MA03311200
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Martin D Pelavin, MD?

The NPI number of Dr. Martin D Pelavin, MD is 1386758217. It was assigned on August 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Martin D Pelavin, MD?

Dr. Martin D Pelavin, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA03311200.

Where does Dr. Martin D Pelavin, MD practice?

The practice location is 215 Old Tappan Road, Old Tappan, NJ 07675. The office can be reached at 201-666-1000 (phone) or 201-666-4108 (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 1386758217 directly on the NPPES registry website.

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