Provider Demographics
NPI:1689735789
Name:ROBERT P RABINOWITZ DO PA
Entity Type:Organization
Organization Name:ROBERT P RABINOWITZ DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:RABINOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-341-5403
Mailing Address - Street 1:462 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6381
Mailing Address - Country:US
Mailing Address - Phone:732-341-5403
Mailing Address - Fax:732-505-0862
Practice Address - Street 1:462 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6381
Practice Address - Country:US
Practice Address - Phone:732-341-5403
Practice Address - Fax:732-505-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ032368207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5012708Medicaid
NJE44185Medicare UPIN
NJ805977Medicare ID - Type Unspecified