| John S. Rajapakse, Md Pa | |
|
495 New Brunswick Ave Perth Amboy NJ 08861-3653 | |
| (732) 442-4422 | |
| (732) 442-3577 |
| Full Name | John S. Rajapakse, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 495 New Brunswick Ave, Perth Amboy, New Jersey |
| Authorized Official Name and Position | John S Rajapakse (CEO) |
| Authorized Official Contact | 7324424422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John S. Rajapakse, Md Pa 495 New Brunswick Ave Perth Amboy NJ 08861-3653 Ph: (732) 442-4422 | John S. Rajapakse, Md Pa 495 New Brunswick Ave Perth Amboy NJ 08861-3653 Ph: (732) 442-4422 |
| NPI Number | 1851676936 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 10/20/2011 |
| Medicare PECOS PAC ID | 0749448264 |
|---|---|
| Medicare Enrollment ID | O20120229000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851676936 | NPI | - | NPPES |
| 0140449 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA0282773000 (New Jersey) | Primary |
| Provider Name | John S Rajapakse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639377914 PECOS PAC ID: 4284713595 Enrollment ID: I20080512000149 |
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