Active NPIIndividual provider

Dr. Jessy R Palamattam, MD

Pediatrics in Ridgewood, New Jersey

NPI Number1265685895
Practice location
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Fax
201-447-8491
Last updated
March 21, 2013

Jessy R Palamattam is a Pediatrics based in Ridgewood, NJ. Jessy R Palamattam practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Jessy R Palamattam is 1265685895 and holds a License No. 25MA09117100 (NJ). The current practice location address for Jessy R Palamattam is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 and can be reached out via phone at 201-447-8000 and via fax at 201-447-8491.

Provider Profile Details

NPI Number
1265685895
Provider Name
Jessy R Palamattam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Phone Number
201-447-8000
Fax Number
201-447-8491
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
October 28, 2008
Last Update Date
March 21, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Zip
07450-2726
Phone Number
201-447-8000
Fax Number
201-447-8491
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
City
Ridgewood
State
NJ
Zip
07450-2726
Phone Number
201-447-8000
Fax Number
201-447-8491

License Information

License Number (1)
25MA09117100
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X · Primary
License Number (2)
264320
License State (2)
NY
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
M7500
License State (3)
TX
Taxonomy (3)
Pediatrics · 208000000X

Legacy Identifiers

IdentifierTypeStateIssuer
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. Jessy R Palamattam, MD?

The NPI number of Dr. Jessy R Palamattam, MD is 1265685895. It was assigned on October 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jessy R Palamattam, MD?

Dr. Jessy R Palamattam, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA09117100.

Where does Dr. Jessy R Palamattam, MD practice?

The practice location is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726. The office can be reached at 201-447-8000 (phone) or 201-447-8491 (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 1265685895 directly on the NPPES registry website.

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