Active NPI
Rachel P Dultz, MD Breast Surgical Specialist, LLC
- Surgery Physician
- East Windsor, NJ
National Provider Identifier
1912150244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MAO5914700
- Legal business name
- RACHEL P DULTZ, MD BREAST SURGICAL SPECIALIST, LLC
- Practice address
- 300B Princeton Hightstown Rd
East Windsor, NJ 08520-1400 - Phone
- (609) 688-2700
- Fax
- (609) 688-2701
- NPI assigned
- Oct 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachel Paula Dultz, M.D.
- Title
- Authorized Official
- Phone
- (609) 688-2700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MAO5914700 | NJ | Primary |
Addresses
Primary practice location
300B Princeton Hightstown Rd
East Windsor, NJ 08520-1400
Mailing address
300B Princeton Hightstown Rd
East Windsor, NJ 08520-1400
Phone (609) 688-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
370 E Maple Ave
Ste 200
Langhorne, PA 19047
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- East Windsor, NJ
- NPI 1386631489
-
- Surgery Physician
- Plainsboro, NJ
- NPI 1043691793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225324800000",
"number": "1912150244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300B PRINCETON HIGHTSTOWN RD",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085201400",
"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",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085201400",
"telephone_number": "609-688-2700",
"fax_number": "609-688-2701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RACHEL P DULTZ, MD BREAST SURGICAL SPECIALIST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A",
"authorized_official_last_name": "DULTZ",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "PAULA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "609-688-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NJ",
"license": "25MAO5914700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Windsor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.