Provider Demographics
NPI:1902802283
Name:REMER, PAUL (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:REMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 NEW RD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1039
Mailing Address - Country:US
Mailing Address - Phone:609-927-2020
Mailing Address - Fax:609-926-7616
Practice Address - Street 1:2020 NEW RD
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1039
Practice Address - Country:US
Practice Address - Phone:609-927-2020
Practice Address - Fax:609-926-7616
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03166800207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ191141OtherAMERIGROUP
NJ180030633OtherTRAVELERS
NJ471504OtherCIGNA
NJMA31668OtherSTATE LICENSE
NJP00466839OtherRAILROAD MEDICARE
NJ0075814000OtherAMERIHEALTH
NJ119685OtherPTAN
NJ261292954OtherAETNA
NJ2801108Medicaid
NJF02114OtherHEALTHNET
NJP1122671OtherOXFORD
NJ1080095OtherHORIZON NEW JERSEY HEALTH
NJ180030633OtherTRAVELERS
NJF02114OtherHEALTHNET
NJC58708Medicare UPIN
2801108Medicare PIN