Dr. Jerrold J Ellner, MD
Internal Medicine, Infectious Disease in Newark, New Jersey
1174736797- Practice location
- 140 Bergen St # D, Newark, NJ 07103
- Phone
- 973-972-4071
- Fax
- 973-972-3102
- Last updated
- February 3, 2022
Jerrold J Ellner is an Internal Medicine, Infectious Disease based in Newark, NJ. Jerrold J Ellner practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Jerrold J Ellner is 1174736797 and holds a License No. 242471 (MA). The current practice location address for Jerrold J Ellner is 140 Bergen St # D, Newark, NJ 07103 and can be reached out via phone at 973-972-4071 and via fax at 973-972-3102.
Provider Profile Details
- NPI Number
- 1174736797
- Provider Name
- Jerrold J Ellner
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 140 Bergen St # D, Newark, NJ 07103
- Phone Number
- 973-972-4071
- Fax Number
- 973-972-3102
- Primary Taxonomy
- Internal Medicine, Infectious Disease · 207RI0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 8, 2007
- Last Update Date
- February 3, 2022
- Certification Date
- February 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Bergen St # D
Newark, NJ 07103 - City
- Newark
- State
- New Jersey
- Zip
- 07103
- Phone Number
- 973-972-4071
- Fax Number
- 973-972-3102
Provider Business Mailing Address Details
- Address
- 30 Bergen St Rm 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- NJ
- Zip
- 07107-3000
License Information
- License Number (1)
- 242471
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 242471
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine, Infectious Disease · 207RI0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jerrold J Ellner, MD?
The NPI number of Dr. Jerrold J Ellner, MD is 1174736797. It was assigned on May 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jerrold J Ellner, MD?
Dr. Jerrold J Ellner, MD is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X), licensed in MA under license number 242471.
Where does Dr. Jerrold J Ellner, MD practice?
The practice location is 140 Bergen St # D, Newark, NJ 07103. The office can be reached at 973-972-4071 (phone) or 973-972-3102 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174736797 directly on the NPPES registry website.