MEDICARE: RESPACARE,PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	173F00000X	Sleep Specialist (PhD)
2	207KA0200X	Allergy Physician
3	207RP1001X	Pulmonary Disease Physician
4	174400000X	Specialist

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528731163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPACARE,PA

Provider Business Mailing Address
First Line	:	489 UNION AVE
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-3489
Country	:	US
Telephone Number	:	732-356-9950
Fax Number	:	732-356-9959

Provider Business Practice Location Address
First Line	:	489 UNION AVE
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-3489
Country	:	US
Telephone Number	:	732-356-9950
Fax Number	:	732-356-9959

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BARBARA DIANE TRUJILLO
Credential	:
Telephone Number	:	732-356-9950

Provider Enumeration Date	:	07/29/2021
Last Update Date	:	07/29/2021

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Directions to “RESPACARE,PA ” Practice Location

Language	Start Address	Practice Location

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