Ileola M Allen-Jamison
Clinic/Center, Developmental Disabilities in Newark, New Jersey
1457107906- Practice location
- 109-119 Broad St #308, Newark, NJ 07104
- Phone
- 973-841-3961
- Fax
- —
- Last updated
- May 8, 2024
Ileola Miriam Allen-Jamison is a Clinic/Center, Developmental Disabilities based in Newark, NJ. Ileola Miriam Allen-Jamison practices in Newark, NJ. The NPI Number for Ileola Miriam Allen-Jamison is 1457107906 and holds a License No. 22DP00585400 (NJ). The current practice location address for Ileola Miriam Allen-Jamison is 109-119 Broad St #308, Newark, NJ 07104 and can be reached out via phone at 973-841-3961.
Provider Profile Details
- NPI Number
- 1457107906
- Provider Name
- Ileola Miriam Allen-Jamison
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 109-119 Broad St #308, Newark, NJ 07104
- Phone Number
- 973-841-3961
- Primary Taxonomy
- Clinic/Center, Developmental Disabilities · 261QD1600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 25, 2024
- Last Update Date
- May 8, 2024
- Certification Date
- May 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109-119 Broad St #308
Newark, NJ 07104 - City
- Newark
- State
- New Jersey
- Zip
- 07104
- Phone Number
- 973-841-3961
Provider Business Mailing Address Details
- Address
- 109-119 Broad St #308
Newark, NJ 07104 - City
- Newark
- State
- NJ
- Zip
- 07104
- Phone Number
- 973-841-3961
License Information
- License Number (1)
- 22DP00585400
- License State (1)
- NJ
- Taxonomy (1)
- Dental Assistant · 126800000X
- Taxonomy (2)
- Clinic/Center, Developmental Disabilities · 261QD1600X · 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 Ileola M Allen-Jamison?
The NPI number of Ileola M Allen-Jamison is 1457107906. It was assigned on April 25, 2024 and is currently active in the NPPES registry.
What is the specialty of Ileola M Allen-Jamison?
Ileola M Allen-Jamison is registered under the primary taxonomy Clinic/Center, Developmental Disabilities (code 261QD1600X), licensed in NJ under license number 22DP00585400.
Where does Ileola M Allen-Jamison practice?
The practice location is 109-119 Broad St #308, Newark, NJ 07104. The office can be reached at 973-841-3961 (phone).
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 1457107906 directly on the NPPES registry website.