Active NPIIndividual provider

Dr. Jeffrey Rakickas, MD

Family Medicine in Cinnaminson, New Jersey

NPI Number1518194349
Practice location
1210 Route 130 N Ste 1438, Cinnaminson, NJ 08077-3046
Fax
856-829-0453
Last updated
March 17, 2018

Jeffrey Rakickas is a Family Medicine based in Cinnaminson, NJ. Jeffrey Rakickas practices in Cinnaminson, NJ and has the professional credentials of MD. The NPI Number for Jeffrey Rakickas is 1518194349 and holds a License No. 25MA09125700 (NJ). The current practice location address for Jeffrey Rakickas is 1210 Route 130 N Ste 1438, Cinnaminson, NJ 08077-3046 and can be reached out via phone at 856-829-0407 and via fax at 856-829-0453.

Provider Profile Details

NPI Number
1518194349
Provider Name
Jeffrey Rakickas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1210 Route 130 N Ste 1438, Cinnaminson, NJ 08077-3046
Phone Number
856-829-0407
Fax Number
856-829-0453
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2009
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1210 Route 130 N Ste 1438
Cinnaminson, NJ 08077-3046
Zip
08077-3046
Phone Number
856-829-0407
Fax Number
856-829-0453
Cinnaminson, NJ 08077Get directions →

Provider Business Mailing Address Details

Address
1210 Route 130 N Ste 1438
Cinnaminson, NJ 08077-3046
City
Cinnaminson
State
NJ
Zip
08077-3046
Phone Number
856-829-0407
Fax Number
856-829-0453

License Information

License Number
25MA09125700
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · 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. Jeffrey Rakickas, MD?

The NPI number of Dr. Jeffrey Rakickas, MD is 1518194349. It was assigned on June 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey Rakickas, MD?

Dr. Jeffrey Rakickas, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA09125700.

Where does Dr. Jeffrey Rakickas, MD practice?

The practice location is 1210 Route 130 N Ste 1438, Cinnaminson, NJ 08077-3046. The office can be reached at 856-829-0407 (phone) or 856-829-0453 (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 1518194349 directly on the NPPES registry website.

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