Provider Demographics
NPI:1366491110
Name:GEFFNER, RAMI E (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMI
Middle Name:E
Last Name:GEFFNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1580 LAKEWOOD RD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-3287
Mailing Address - Country:US
Mailing Address - Phone:732-456-7777
Mailing Address - Fax:848-251-2189
Practice Address - Street 1:26 HIGHWAY 35 N
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4743
Practice Address - Country:US
Practice Address - Phone:732-456-7777
Practice Address - Fax:848-251-2189
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03772900207ND0900X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102543787Medicaid
NJ082161OtherMEDICARE PTAN
NJ3321207Medicaid
PA773935OtherMEDICARE PTAN
NJP6089440OtherOXFORD
NJ4093764OtherAETNA PPO
NJ2870959OtherAETNA HMO
NJ4093764OtherAETNA PPO
NJ11630OtherUNIVERSITY HEALTH PLANS
NJVS005OtherOXFORD