| Planet Therapies | |
|
193 Us Highway 9 Ste 2d Manalapan NJ 07726-3016 | |
| (732) 590-5240 | |
| (732) 358-0743 |
| Full Name | Planet Therapies |
|---|---|
| Speciality | Social Worker |
| Location | 193 Us Highway 9 Ste 2d, Manalapan, New Jersey |
| Authorized Official Name and Position | Margo E Rappaport (OWNER/CEO) |
| Authorized Official Contact | 7325188803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Planet Therapies 1147 Roseberry Ct Morganville NJ 07751-1787 Ph: (732) 518-8803 | Planet Therapies 193 Us Highway 9 Ste 2d Manalapan NJ 07726-3016 Ph: (732) 590-5240 |
| NPI Number | 1841780087 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 06/08/2021 |
| Certification Date | 06/08/2021 |
| Medicare PECOS PAC ID | 6002171360 |
|---|---|
| Medicare Enrollment ID | O20180607002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841780087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05652200 (New Jersey) | Primary |
| Provider Name | Margo E Rappaport |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992045173 PECOS PAC ID: 7810252178 Enrollment ID: I20180607002269 |
| Provider Name | Iva Y Kirzhner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033882139 PECOS PAC ID: 7911301114 Enrollment ID: I20210810003755 |
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