Talar Acob
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Trenton, NJ
NPI 1043950009 · NPPES record last updated Mar 29, 2022
Key facts
- NPI
- 1043950009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 750 Brunswick Ave
Trenton, NJ 08638-4143 - Phone
- (609) 394-6031
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250805000731 | MA | Order and Referring Only - Rheumatology |
6800304478 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
750 Brunswick Ave
Trenton, NJ 08638-4143
Mailing address
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6031
Other providers in Trenton, NJ
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- Ali Adam
- Valaria Adams-Johnson
- Amoke Adams
- Mary Addezio
- Rachel Addy
All providers in Trenton, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.