Jerrold J Ellner in Newark - Internal Medicine

Jerrold J Ellner - NPI 1174736797

Jerrold J Ellner is a Internal Medicine in Newark, New Jersey. Jerrold J Ellner practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerrold J Ellner is 1174736797. The last update date is 2022-02-03.

Jerrold J Ellner's current location address is 140 Bergen St # D, Newark, New Jersey. You can contact this provider via phone number 9739724071 and fax number 9739723102. The mailing address for Jerrold J Ellner is 140 Bergen St # D, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerrold J Ellner
Address 140 Bergen St # D, Newark, New Jersey
Phone Number 9739724071
Fax Number 9739723102
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1174736797
Provider Enumeration Date 2007-05-08
Last Updated Date 2022-02-03

Provider Mailing Address Detail

Address 140 Bergen St # D
City Newark
State New Jersey (NJ)
Post Code 7103
Phone Number 9739724071
Fax Number 9739723102

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 242471
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110086419A MA --
8201200 NJ --

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FAQs about Jerrold J Ellner

What is the unique 10-digit identification code assigned to Jerrold J Ellner by the Centers for Medicare & Medicaid Services?

The Jerrold J Ellner has been issued the NPI (National Provider Identifier) 1174736797, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jerrold J Ellner?

The Jerrold J Ellner is physically situated at 140 Bergen St # D, in the city of Newark, state of NJ, with the postal code 7103.

What is Jerrold J Ellner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jerrold J Ellner is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date was the 1174736797 assigned to Jerrold J Ellner?

The Jerrold J Ellner was issued its 1174736797 on 2007-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jerrold J Ellner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jerrold J Ellner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-03.

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