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NPI Code Detail

MEDICARE: DR. NATHAN J PLASKETT DO

MEDICARE: DR. NATHAN J PLASKETT DO
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
1207Q00000XFamily Medicine Physician25MB12865000NJ

General Provider Information

NPI Number : 1538738802
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN J PLASKETT DO
Provider Business Mailing Address
First Line : 271 GROVE AVE STE E
Second Line :
City : VERONA
State : NJ
Zip : 07044-1730
Country : US
Telephone Number : 973-559-3700
Fax Number : 833-484-1686
Provider Business Practice Location Address
First Line : 1114 GOFFLE RD STE 104
Second Line :
City : HAWTHORNE
State : NJ
Zip : 07506-2014
Country : US
Telephone Number : 973-636-9000
Fax Number : 833-493-1245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2021
Last Update Date : 01/16/2026

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