Active NPIIndividual provider

Tashil K Ju, MD

Anesthesiology in Wyckoff, New Jersey

NPI Number1730314972
Practice location
500 W Main St, Suite 16, Wyckoff, NJ 07481-1439
Fax
201-847-0059
Last updated
December 8, 2015

Tashil Kim Ju is an Anesthesiology based in Wyckoff, NJ. Tashil Kim Ju practices in Wyckoff, NJ and has the professional credentials of MD. The NPI Number for Tashil Kim Ju is 1730314972 and holds a License No. MA089718 (NJ). The current practice location address for Tashil Kim Ju is 500 W Main St, Suite 16, Wyckoff, NJ 07481-1439 and can be reached out via phone at 201-847-9320 and via fax at 201-847-0059.

Provider Profile Details

NPI Number
1730314972
Provider Name
Tashil Kim Ju
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
500 W Main St, Suite 16, Wyckoff, NJ 07481-1439
Phone Number
201-847-9320
Fax Number
201-847-0059
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
May 18, 2009
Last Update Date
December 8, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 W Main St
Suite 16
Wyckoff, NJ 07481-1439
Zip
07481-1439
Phone Number
201-847-9320
Fax Number
201-847-0059
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
70 Glen Ridge Pkwy
Glen Ridge, NJ 07028-1802
City
Glen Ridge
State
NJ
Zip
07028-1802
Phone Number
312-498-7996
Fax Number
201-847-0059

License Information

License Number
MA089718
License State
NJ
Taxonomy
Anesthesiology · 207L00000X · Primary

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 Tashil K Ju, MD?

The NPI number of Tashil K Ju, MD is 1730314972. It was assigned on May 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Tashil K Ju, MD?

Tashil K Ju, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NJ under license number MA089718.

Where does Tashil K Ju, MD practice?

The practice location is 500 W Main St, Suite 16, Wyckoff, NJ 07481-1439. The office can be reached at 201-847-9320 (phone) or 201-847-0059 (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 1730314972 directly on the NPPES registry website.

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