| South Mountain Medical Consultants P C | |
|
1500 Pleasant Valley Way Suite 201 West Orange NJ 07052 | |
| (973) 324-1200 | |
| (973) 736-6818 |
| Full Name | South Mountain Medical Consultants P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 Pleasant Valley Way, West Orange, New Jersey |
| Authorized Official Name and Position | Michael Rothkopf (PRESIDENT) |
| Authorized Official Contact | 9733241200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Mountain Medical Consultants P C 1500 Pleasant Valley Way Suite 201 West Orange NJ 07052-2956 Ph: (973) 324-1200 | South Mountain Medical Consultants P C 1500 Pleasant Valley Way Suite 201 West Orange NJ 07052 Ph: (973) 324-1200 |
| NPI Number | 1932398047 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 08/04/2018 |
| Medicare PECOS PAC ID | 6901084367 |
|---|---|
| Medicare Enrollment ID | O20110707000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932398047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA037919 (New Jersey) | Primary |
| Provider Name | Michael M Rothkopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821137225 PECOS PAC ID: 3476577362 Enrollment ID: I20060118000654 |
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