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
Phone: (551) 996-1548
Fax: (551) 996-3298
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1770504573 | NPPES |
| New Jersey | MEDICAID | 7427000 |
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