Provider Demographics
NPI:1407926033
Name:ATLANTIC RHEUMATOLOGY AND OSTEOPOROSIS ASSOCIATES PA
Entity Type:Organization
Organization Name:ATLANTIC RHEUMATOLOGY AND OSTEOPOROSIS ASSOCIATES PA
Other - Org Name:DEBORAH PASIK
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PASIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-984-9796
Mailing Address - Street 1:8 SADDLE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927
Mailing Address - Country:US
Mailing Address - Phone:973-984-9796
Mailing Address - Fax:973-984-5445
Practice Address - Street 1:8 SADDLE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927
Practice Address - Country:US
Practice Address - Phone:973-984-9796
Practice Address - Fax:973-984-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA51499207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP3576165OtherOXFORD
NJ2K9389OtherHEALTHNET
NJ7512744OtherAETNA NON HMO
NJ1102181OtherAETNA HMO
NJ7512744OtherAETNA NON HMO
A64208Medicare UPIN