Basic Information
| Provider Information | |||||||||
| NPI: | 1114993946 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARONSKY | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 150 NEW PROVIDENCE RD | ||||||||
| Address2: | |||||||||
| City: | MOUNTAINSIDE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070922590 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082333720 | ||||||||
| FaxNumber: | 9083015456 | ||||||||
| Practice Location | |||||||||
| Address1: | 150 NEW PROVIDENCE RD | ||||||||
| Address2: | |||||||||
| City: | MOUNTAINSIDE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070922590 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082333720 | ||||||||
| FaxNumber: | 9083015456 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2006 | ||||||||
| LastUpdateDate: | 03/24/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 25MA07101200 | NJ | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 010007111 | 01 | NJ | AMERICHOICE | OTHER | 221487148 | 01 | NJ | GREAT WEST | OTHER | 221487148 | 01 | NJ | UNITED HEALTHCARE | OTHER | 0108080001 | 01 | NJ | AMERIHEALTH | OTHER | 221487148 | 01 | NJ | PHCS | OTHER | 2K7585 | 01 | NJ | HEALTHNET | OTHER | 5816055003 | 01 | NJ | CIGNA HEALTHCARE | OTHER | 60001974 | 01 | NJ | HORIZON NJ HEALTH | OTHER | P2531900 | 01 | NJ | OXFORD HEALTH PLANS | OTHER | S51B01 | 01 | NJ | EMPIRE | OTHER | 221487148 | 01 | NJ | DEVON HEALTH NETWORK | OTHER | 221487148 | 01 | NJ | HORIZON BCBS NJ | OTHER | 40622 | 01 | NJ | AMERIGROUP | OTHER | 7421363 | 01 | NJ | AETNA HEALTHCARE | OTHER | MAGNACARE | 01 | NJ | 221487148 | OTHER |