Healthcare Provider Details
I. General information
NPI: 1255589966
Provider Name (Legal Business Name): R & R PERINATAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/05/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 PROSPECT AVE SUITE 601
HACKENSACK NJ
07601-1997
US
IV. Provider business mailing address
228 PARK AVE
HOBOKEN NJ
07030-3794
US
V. Phone/Fax
- Phone: 201-996-2943
- Fax: 201-336-8112
- Phone: 201-996-2943
- Fax: 201-336-8112
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 165114-1 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | LICENSE |
| # 2 | |
| Identifier | MA04343800 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | LINCENSE |
VIII. Authorized Official
Name: DR.
MANUEL
ALVAREZ
Title or Position: CHAIRMAN OF MATERNAL FETAL MEDICINE
Credential: M.D.
Phone: 201-996-2943