Israel, Jessica L.

Israel, Jessica L. is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Israel, Jessica L. can be contacted via phone (732) 923-7550.

Contact Information

Primary practice address
300 2Nd Ave Long Branch NJ 07740-6303
Phone: (732) 923-7550
Fax: (732) 923-7553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07429100 New Jersey
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25MA07429100 New Jersey

Profile Details

NPI number 1629017843
LBN Legal business name Israel, Jessica L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 24th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629017843 NPPES
New Jersey MEDICAID 8893306

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