Rodriguez, Jaime

Rodriguez, Jaime is an individual health care provider with primary practice located at 30 Prospect Avenue , Hackensack NJ 07601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Rodriguez, Jaime can be contacted via phone (551) 996-1548.

Contact Information

Primary practice address
30 Prospect Avenue Hackensack NJ 07601
Fax: (551) 996-3298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25MA06030500 New Jersey

Profile Details

NPI number 1770504573
LBN Legal business name Rodriguez, Jaime
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 13th, 2018 - about 6 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 1770504573 NPPES
New Jersey MEDICAID 7427000

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