Provider Demographics
NPI:1568450799
Name:POGANY, ORSOLYA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ORSOLYA
Middle Name:M
Last Name:POGANY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 ROCK RD E
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-2135
Mailing Address - Country:US
Mailing Address - Phone:908-769-5959
Mailing Address - Fax:
Practice Address - Street 1:19 HOLLY ST
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2158
Practice Address - Country:US
Practice Address - Phone:908-276-5276
Practice Address - Fax:908-276-0040
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04438800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5149401Medicaid
NJ0080454001OtherAMERIHEALTH
NJ6036289OtherCIGNA
NJ0536839Other0536839
NJNJ0990OtherHEALTHNET
NJP841956OtherOXFORD
NJ290956OtherMULTIPLAN/PHCS