Healthcare Provider Details

I. General information

NPI: 1679003487
Provider Name (Legal Business Name): RAKESH BISWAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CAPITAL WAY STE 220
PENNINGTON NJ
08534-2523
US

IV. Provider business mailing address

2 CAPITAL WAY STE 220
PENNINGTON NJ
08534-2523
US

V. Phone/Fax

Practice location:
  • Phone: 609-303-0747
  • Fax:
Mailing address:
  • Phone: 609-303-0747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101267341
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA13155200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD484828
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: