DOV J. RAND MD PA


Address: 2035 Hamburg Tpke Ste G, Wayne, NJ 07470-6251
Phone: 9738393923

DOV J. RAND MD PA (NPI# 1679622823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679622823
Entity Type Organization
Organization Name DOV J. RAND MD PA
Practice Address 2035 Hamburg Tpke Ste G
Wayne
NJ 07470-6251
Mailing Address Po Box 2403
Wayne
NJ 07474-2403
Practice Telephone 9738393923
Mailing Telephone 9736331122
Enumeration Date 2007-01-09
Last Update Date 2020-08-22
Authorized Official Name DR. DOV JOHANAN RAND (OWNER)
Authorized Official Telephone 9736331122
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225500000X Specialist/Technologist 25MA05832500 NJ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 6543006 05

Office Location

Street Address 2035 HAMBURG TPKE STE G
City WAYNE
State NJ
Zip Code 07470-6251

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Taxonomy Information

Taxonomy Code 225500000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist

Taxonomy Definition

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

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1689647208 John L Davis Specialist/Technologist Montclair State University, 1 Normal Ave., Montclair, NJ 07043-1624 2006-02-13
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Competitor

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City WAYNE
Zip Code 07470

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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