location
search-icon
person
Johanna Jacqueline Gonzalez Mejia, MD
Specialist in Elizabeth, New Jersey
NPI 1669565396

Johanna Jacqueline Gonzalez Mejia is a Specialist based in Elizabeth, NJ. Johanna Jacqueline Gonzalez Mejia practices in Elizabeth, NJ and has the professional credentials of MD. The NPI Number for Johanna Jacqueline Gonzalez Mejia is 1669565396 and holds a License No. 25MA06899700 (New Jersey).

The current practice location address for Johanna Jacqueline Gonzalez Mejia is 433 North Broad Street, Elizabeth, NJ and can be reached out via phone at 908-436-1002 and via fax at 908-436-1109.

Location: 433 North Broad Street, Elizabeth, NJ, 07208-3398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669565396
Provider Name
Johanna Jacqueline Gonzalez Mejia
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
433 North Broad Street, Elizabeth, NJ, 07208-3398
Phone Number
908-436-1002
Fax Number
908-436-1109
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
202092816 01 NJ TAX ID,
AH0236165301 01 NJ AMERIHEALTH
60013229 01 NJ HORIZON NJ HEALTH
01000296602 01 NJ AMERICHOICE
97222 01 NJ AMERIGROUP
8565708 05 NJ
31002 01 NJ UNIVERSITY HEALTH PLAN
7752202 01 NJ AETNA
institution
Provider Business Practice Location Address Details
Address
433 North Broad Street
City
Elizabeth
State
New Jersey
Zip
07208-3398
Phone Number
908-436-1002
Fax Number
908-436-1109
person
Provider Business Mailing Address Details
Address
433 North Broad Street
City
Elizabeth
State
New Jersey
Zip
07208-3398
Phone Number
908-436-1002
Fax Number
908-436-1109
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA06899700 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.