Provider Demographics
NPI:1710955174
Name:SAKOWITZ, ARTHUR JAY (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:JAY
Last Name:SAKOWITZ
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 1:1 W RIDGEWOOD AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2359
Mailing Address - Country:US
Mailing Address - Phone:201-493-0366
Mailing Address - Fax:201-493-0379
Practice Address - Street 1:1 W RIDGEWOOD AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2359
Practice Address - Country:US
Practice Address - Phone:201-493-0366
Practice Address - Fax:201-493-0379
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02967500207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2951703Medicaid
NJ222273328OtherFEDERAL TAX EMPL. ID #
NJ0794601Medicaid
NJ180717BW2Medicare PIN
NJ0794601Medicaid
NJ222273328OtherFEDERAL TAX EMPL. ID #