Provider Demographics
NPI:1821033291
Name:RONALD A. FELIPE,M.D., P.C.
Entity Type:Organization
Organization Name:RONALD A. FELIPE,M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:FELIPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-579-1774
Mailing Address - Street 1:PO BOX 1305
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-0875
Mailing Address - Country:US
Mailing Address - Phone:215-579-1774
Mailing Address - Fax:302-239-2105
Practice Address - Street 1:446 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-4502
Practice Address - Country:US
Practice Address - Phone:215-579-1774
Practice Address - Fax:302-239-2105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1071807OtherAETNA
NJ0021041Medicaid
NJ2646726000OtherAMERIHEALTH
NJDE7509OtherRAIL ROAD MEDICARE
NJ0021041Medicaid
NJ=========OtherHORIZON BC BS OF NJ
NJ088759Medicare PIN
NJ0021041Medicaid