Provider Demographics
NPI:1598723884
Name:PAPPERT, AMY S (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:S
Last Name:PAPPERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:66 W GILBERT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4947
Mailing Address - Country:US
Mailing Address - Phone:732-212-0051
Mailing Address - Fax:732-212-0713
Practice Address - Street 1:1 WORLDS FAIR DR
Practice Address - Street 2:SUITE 2400
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1344
Practice Address - Country:US
Practice Address - Phone:732-235-7765
Practice Address - Fax:732-235-6568
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA059437207N00000X
NJ25MA05943700207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6775306Medicaid
223777917OtherCOMMERCIAL INSURANCES
NJ122681P0HMedicare ID - Type Unspecified
223777917OtherCOMMERCIAL INSURANCES
NJ122681Medicare PIN
NJ122681BDKMedicare PIN