Dr Marta S Diaz-pupek, DO is a
Pediatrics physician based in Glassboro, New Jersey. Dr Marta S Diaz-pupek is licensed to practice in New Jersey (license number 25MB10292600) and her current practice location is 201 Mullica Hill Rd, Glassboro, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(856) 256-4333.
NPI number for Dr Marta S Diaz-pupek is 1891886214 and her current mailing address is 201 Mullica Hill Rd, Glassboro, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891886214.
Physician's Profile
| Full Name | Dr Marta S Diaz-pupek |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
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| Location | 201 Mullica Hill Rd, Glassboro, 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: 1891886214
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 06/15/2021
Medical Identifiers
Medical identifiers for Dr Marta S Diaz-pupek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891886214 | NPI | - | NPPES |
| 6611303 | Medicaid | NJ | |
| 6709281 | Medicaid | VA | |
| 01720552 | Medicaid | NY | |
| 3312003 | Medicaid | MD | |
| 001532946 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | C20004567 (Delaware) | Secondary |
| 208000000X | Pediatrics | 25MB10292600 (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 Marta S Diaz-pupek 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 Marta S Diaz-pupek, DO
201 Mullica Hill Rd,
Glassboro, NJ 08028-1702
Ph: (856) 256-4333 | Dr Marta S Diaz-pupek, DO
201 Mullica Hill Rd,
Glassboro, NJ 08028-1702
Ph: (856) 256-4333 |
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