Provider Demographics
NPI:1508859935
Name:SAVATSKY, GARY
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:
Last Name:SAVATSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5246
Mailing Address - Country:US
Mailing Address - Phone:201-587-1111
Mailing Address - Fax:201-587-8192
Practice Address - Street 1:2 FOREST AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5214
Practice Address - Country:US
Practice Address - Phone:201-587-1111
Practice Address - Fax:201-587-8192
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04325000174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJBS314OtherOXFORD #
NJ200019967OtherRR MDCR #
NJ34D351OtherEMPIRE BC/BS NY #
NJ0825828OtherAETNA HMO #
NJ4246353OtherAETNA PPO #
NJ34D351OtherEMPIRE BC/BS NY #
NJ457658B81Medicare PIN