Ellner, Jerrold J
Ellner, Jerrold J is an individual health care provider with primary practice located at 140 Bergen St # D , Newark NJ 07103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Ellner, Jerrold J can be contacted via phone (973) 972-4071.Contact Information
Primary practice address
140 Bergen St # D
Newark NJ 07103
Phone: (973) 972-4071
Fax: (973) 972-3102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 242471 | Massachusetts |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 242471 | Massachusetts |
Profile Details
| NPI number | 1174736797 |
|---|---|
| LBN Legal business name | Ellner, Jerrold J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Feb 3rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174736797 | NPPES |
| Massachusetts | MEDICAID | 110086419A | |
| Massachusetts | MEDICAID | 8201200 |
Popular Providers
-
Sinha, Anushua
185 S Orange Ave New Jersey Medical School - Umdnj, Msb F506, Newark NJ 07103-2757 -
Cennimo, David John
90 Bergen St Suite 4400, Newark NJ 07103-2425 -
Rodriguez, Ana M.
1119 Broad St , Newark NJ 07114-2501 -
Slim, Jihad
268 Dr Martin Luther King Jr Blvd , Newark NJ 07102-2011 -
Chew, Debra
140 Bergen St Acc Level D, Newark NJ 07103-2425 -
Engell, Christian August
201 Lyons Ave Division Of Infectious Disease, Newark NJ 07112-2027 -
Swaminathan, Shobha
140 Bergen St Acc Level D, Newark NJ 07103-2425 -
Hodder, Sally Lynn
140 Bergen St Acc Level D, Newark NJ 07103-2425