JOSEPH M PEPEK (NPI# 1790755304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790755304 |
| Entity Type | Individual |
| Full Name | JOSEPH M PEPEK |
| Credential | M.D. |
| Practice Address |
3674 State Route 27 Department B Princeton Radiology Associates, Pa Kendall Park NJ 08824 |
| Practice Telephone | 7328215563 |
| Practice Fax Number | 7328216675 |
| Mailing Telephone | 7328215563 |
| Mailing Fax Number | 7328216675 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD445713 | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
149730 | NC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0101239916 | VA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | A88231 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2713900 | 05 |
| Street Address |
3674 STATE ROUTE 27, DEPARTMENT B PRINCETON RADIOLOGY ASSOCIATES, PA |
| City | KENDALL PARK |
| State | NJ |
| Zip Code | 08824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496872 | Laura Funk | Physical Therapist | 3562 Route 27, Suite 124, Kendall Park, NJ 08824 | 2020-10-29 |
| 1639660178 | Megan Patterson, LLC | Social Worker | 3176 Nj Route 27, Suite 2b, Kendall Park, NJ 08824 | 2018-05-21 |
| 1073032363 | Mosaic Impex Inc | Occupational Therapy Assistant | 45 Hastings Road, Kendall Park, NJ 08824 | 2017-09-18 |
| 1497293708 | Nicholas Andrew Demetriou | Specialist/Technologist | 13 Dillon Road, Kendall Park, NJ 08824 | 2017-02-07 |
| 1780031054 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 3330 Highway 27, Kendall Park, NJ 08824 | 2016-05-17 |
| 1013363779 | Dungarvin New Jersey, LLC-dawson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Dawson Rd, Kendall Park, NJ 08824 | 2016-05-11 |
| 1538515390 | Dungarvin New Jersey, LLC-berwick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Berwick Rd, Kendall Park, NJ 08824 | 2016-05-11 |
| 1912388471 | Dungarvin New Jersey, LLC-cranston | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 Cranston Rd, Kendall Park, NJ 08824 | 2015-06-10 |
| 1184017469 | Suk-ying Wang | Clinical Nurse Specialist | 3270 Route 27 Suite 1200, Kendall Park, NJ 08824 | 2015-03-11 |
| 1386980100 | Payal Shah | Pharmacist | 27 Villanova Drive, Kendall Park, NJ 08824 | 2012-12-26 |
| Find all providers in zip 08824 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760525133 | Neesha Rodrigues | Radiology | 3674 Route 27, Department B, Princeton Radiology Associates, P.a., Kendall Park, NJ 08824 | 2007-02-15 |
| 1164459079 | Brian H. Chon | Radiology | 3674 Route 27 Princeton Radiology Associates, Princeton Radiology Associates Dept B, Kendall Park, NJ 08824 | 2006-06-27 |
| 1063480010 | Henry K Tsai | Radiology | 3674 Route 27, Princeton Radiology Associates, P.a., Department B, Kendall Park, NJ 08824 | 2006-03-08 |
| 1700045051 | Anuj Goenka | Radiology | 3674 Route 27, Princeton Radiology Associates, P.a., Department B, Kendall Park, NJ 08824 | 2008-06-03 |
| 1093905184 | Hiral P. Fontanilla | Radiology | 3674 Route 27, Princeton Radiology Associates, P.a., Department B, Kendall Park, NJ 08824 | 2007-07-26 |
| 1033253679 | Todd W. Flannery | Radiology | 3674 Route 27, Princeton Radiology Associates, P.a., Department B, Kendall Park, NJ 08824 | 2007-02-16 |
| 1841200706 | Edward M Soffen | Radiology | 3674 Route 27, Princeton Radiology Associates, P.a., Department B, Kendall Park, NJ 08824 | 2006-08-09 |
| 1548286339 | Andrew S Greenberg | Radiology | 3674 Route 27, Princeton Radiology Associates, P.a., Department B, Kendall Park, NJ 08824 | 2006-07-14 |
| 1679500128 | Robert M. Cardinale | Radiology | 3674 Route 27, Princeton Radiology Associates, P.a. Department B, Kendall Park, NJ 08824 | 2006-06-27 |
| 1619917507 | John C. Baumann | Radiology | 3674 Route 27, Princeton Radiology Associates, P.a. Department B, Kendall Park, NJ 08824 | 2006-06-08 |
| Find all providers in KENDALL PARK | ||||
| City | KENDALL PARK |
| Zip Code | 08824 |
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| 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.