Dr Dewi S Sudjono-santoso, MEDICAL DOCTOR is a
Pediatrics - Adolescent Medicine physician based in Hightstown, New Jersey. Dr Dewi S Sudjono-santoso is licensed to practice in New Jersey (license number MA06441900) and her current practice location is 251 Princeton Hightown Rd, Hightstown, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(609) 448-1421.
NPI number for Dr Dewi S Sudjono-santoso is 1053342865 and her current mailing address is 251 Princeton Hightown Rd, Hightstown, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053342865.
Physician's Profile
| Full Name | Dr Dewi S Sudjono-santoso |
|---|
| Gender | Female |
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| Speciality | Pediatrics - Adolescent Medicine |
|---|
| Location | 251 Princeton Hightown Rd, Hightstown, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053342865
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Dewi S Sudjono-santoso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053342865 | NPI | - | NPPES |
| 249850 | Other | | UNHC |
| 2K0986 | Other | | HEALTH NET |
| MEP135 | Other | | OXFORD |
| 82836 | Other | | AMERGRP |
| 0404226610 | Other | | AMERHLTH HMO |
| 3134649 | Other | | CIGNA |
| 385405 | Other | | AMERHLTH PPO |
| 4058994 | Other | | AETNA PPO |
| 36701 | Other | | AETNA HMO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | MA06441900 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dewi S Sudjono-santoso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Dewi S Sudjono-santoso, MEDICAL DOCTOR
251 Princeton Hightown Rd,
Hightstown, NJ 08520
Ph: (609) 448-1421 | Dr Dewi S Sudjono-santoso, MEDICAL DOCTOR
251 Princeton Hightown Rd,
Hightstown, NJ 08520
Ph: (609) 448-1421 |
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