MEDICARE: JOSEPH M PEPEK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	MD445713	PA
2	2085R0203X	Therapeutic Radiology Physician	149730	NC
3	208D00000X	General Practice Physician	A88231	CA
4	208D00000X	General Practice Physician	0101239916	VA
5	2085R0001X	Radiation Oncology Physician	25MA09125200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1790396281	OTHER	NJ	TITAN HEALTH GROUP NPI#

General Provider Information

NPI Number	:	1790755304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH M PEPEK M.D.

Provider Business Mailing Address
First Line	:	629 CRANBURY RD FL 2
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-4096
Country	:	US
Telephone Number	:	732-390-7750
Fax Number	:	732-390-7725

Provider Business Practice Location Address
First Line	:	9 CENTRE DR STE 115
Second Line	:
City	:	MONROE TWP
State	:	NJ
Zip	:	08831-5153
Country	:	US
Telephone Number	:	609-655-5755
Fax Number	:	609-655-5725

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	05/22/2023

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Directions to “ JOSEPH M PEPEK M.D.” Practice Location

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