Provider Demographics
NPI:1518928670
Name:RATNER, IRVING P (MD)
Entity Type:Individual
Prefix:DR
First Name:IRVING
Middle Name:P
Last Name:RATNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 ESPERANZA WAY
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-6206
Mailing Address - Country:US
Mailing Address - Phone:609-747-9200
Mailing Address - Fax:609-747-1408
Practice Address - Street 1:2103 BURLINGTON MOUNT HOLLY RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4157
Practice Address - Country:US
Practice Address - Phone:609-747-9200
Practice Address - Fax:609-747-1408
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02412400207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ130411Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER
NJD97032Medicare UPIN