Active NPIIndividual provider

Dr. Russell E Mordecai, DO

Emergency Medicine in Stratford, New Jersey

NPI Number1932495694
Practice location
1 Medical Center Dr, Stratford, NJ 08084-1500
Fax
—
Last updated
November 18, 2019

Russell Evan Mordecai is an Emergency Medicine based in Stratford, NJ. Russell Evan Mordecai practices in Stratford, NJ and has the professional credentials of DO. The NPI Number for Russell Evan Mordecai is 1932495694 and holds a License No. 25MB09741200 (NJ). The current practice location address for Russell Evan Mordecai is 1 Medical Center Dr, Stratford, NJ 08084-1500 and can be reached out via phone at 856-346-6000.

Provider Profile Details

NPI Number
1932495694
Provider Name
Russell Evan Mordecai
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Dr, Stratford, NJ 08084-1500
Phone Number
856-346-6000
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2011
Last Update Date
November 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Stratford, NJ 08084-1500
Zip
08084-1500
Phone Number
856-346-6000
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Stratford, NJ 08084-1500
City
Stratford
State
NJ
Zip
08084-1500
Phone Number
856-566-6000

License Information

License Number (1)
25MB09741200
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MB09741200
License State (2)
NJ
Taxonomy (2)
Emergency Medicine · 207P00000X · 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. Russell E Mordecai, DO?

The NPI number of Dr. Russell E Mordecai, DO is 1932495694. It was assigned on June 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Russell E Mordecai, DO?

Dr. Russell E Mordecai, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MB09741200.

Where does Dr. Russell E Mordecai, DO practice?

The practice location is 1 Medical Center Dr, Stratford, NJ 08084-1500. The office can be reached at 856-346-6000 (phone).

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 1932495694 directly on the NPPES registry website.

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