Provider Demographics
NPI:1780684506
Name:KOVACS, TIBERIU (MD)
Entity Type:Individual
Prefix:DR
First Name:TIBERIU
Middle Name:
Last Name:KOVACS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ETHEL RD
Mailing Address - Street 2:STE 406B
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2841
Mailing Address - Country:US
Mailing Address - Phone:732-287-6622
Mailing Address - Fax:732-287-2233
Practice Address - Street 1:4 ETHEL RD
Practice Address - Street 2:STE 406B
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2841
Practice Address - Country:US
Practice Address - Phone:732-287-6622
Practice Address - Fax:732-287-2233
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03971000207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D06389Medicare UPIN
NJ440879Medicare PIN
D06389Medicare UPIN
NJ440879B2AMedicare Oscar/Certification