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General NPI Number Information
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NPI Number | 1275723348
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Entity Type | Individual
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Provider Name | SANDEEP RATHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1215 ROUTE 70 STE 1001
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City | LAKEWOOD
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State | NJ
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Zip | 08701-6958
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Country | US
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Telephone | 732-584-2400
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Fax | 848-305-6003
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Provider Business Mailing Address
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Address Line | 90 MATAWAN RD STE 302
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City | MATAWAN
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State | NJ
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Zip | 07747-2653
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Country | US
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Telephone | 732-441-7177
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Fax | 732-441-7165
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 5MA08611000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 25MA08611000
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License Number State | NJ
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