Provider Demographics
NPI:1922071216
Name:MARKOWITZ, RACHEL (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MARKOWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 ROUTE 66
Mailing Address - Street 2:PARKWAY 100
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2625
Mailing Address - Country:US
Mailing Address - Phone:732-643-4350
Mailing Address - Fax:732-643-4398
Practice Address - Street 1:3535 ROUTE 66
Practice Address - Street 2:PARKWAY 100
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-2622
Practice Address - Country:US
Practice Address - Phone:732-643-4350
Practice Address - Fax:732-643-4398
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA077618002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0040282Medicaid
NJ0040282Medicaid