Rachel Paula Dultz

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA05914700 Issued in NJ

Practice address

300B Princeton Hightstown Rd
East Windsor Medical Commons
East Windsor, NJ 08520

Phone

(609) 688-2700

Fax

(609) 688-2701

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rachel P Dultz MD Breast Surgical Specialist LLCGroup PAC ID 8325103096, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
• Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score

23.25 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.48

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJDGAA/Endpoint/AJDGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rachel P Dultz, MD Breast Surgical Specialist, LLC

  • Surgery Physician
  • East Windsor, NJ
  • NPI 1912150244
  Medicare reassignment Care Compare group NPD Authorized official
• Princeton Specialty Group

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1386670990
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Health System, Inc.

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation
• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1295718450
  Care Compare affiliation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1689714255
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1386631489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "EAST WINDSOR MEDICAL COMMONS",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "08520",
            "telephone_number": "609-688-2700",
            "fax_number": "609-688-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "EAST WINDSOR MEDICAL COMMONS",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "08520",
            "telephone_number": "609-688-2700",
            "fax_number": "609-688-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULTZ",
        "first_name": "RACHEL",
        "middle_name": "PAULA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05914700",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA05914700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7755601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ambika Diwan, PT, MBA
• Abigail Naa Dodoo
• Dr. Epstein, Elkin Sargiss Orthodontics, PA
• DRS Robert and Ira Goldstine
• Ronald H. Dubow, M.D.
• East Windsor Dental Group PC
• East Windsor Eyecare, LLC
• East Windsor Township
• Eden Autism Services.
• Egle Eitmantyte

• Surgery Physician in East Windsor, NJ
• Providers in East Windsor, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.