Provider Demographics
NPI:1225017031
Name:ORANCHAK, DEBORAH J (DO)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:ORANCHAK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 DUKE DR
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4320
Mailing Address - Country:US
Mailing Address - Phone:201-899-3411
Mailing Address - Fax:201-845-8775
Practice Address - Street 1:467 COOPER ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-2519
Practice Address - Country:US
Practice Address - Phone:201-899-3411
Practice Address - Fax:201-845-8775
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07205300208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8541809Medicaid
NJH40690Medicare UPIN
NJ8541809Medicaid
NJ048984ZUAQMedicare PIN