Jackito J Daitol, NP
Nurse Practitioner, Adult Health in East Orange, New Jersey
1891762662- Practice location
- 385 Tremont Ave, East Orange, NJ 07018-1023
- Phone
- 973-676-1000
- Fax
- 973-395-7003
- Last updated
- October 22, 2012
Jackito Jugan Daitol is a Nurse Practitioner, Adult Health based in East Orange, NJ. Jackito Jugan Daitol practices in East Orange, NJ and has the professional credentials of NP. The NPI Number for Jackito Jugan Daitol is 1891762662 and holds a License No. 26NN09365100 (NJ). The current practice location address for Jackito Jugan Daitol is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000 and via fax at 973-395-7003.
Provider Profile Details
- NPI Number
- 1891762662
- Provider Name
- Jackito Jugan Daitol
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 385 Tremont Ave, East Orange, NJ 07018-1023
- Phone Number
- 973-676-1000
- Fax Number
- 973-395-7003
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- Yes
- Other Names
- -- Jack Jugan Daitol, NP (Other Name)
- Provider Enumeration Date
- March 1, 2006
- Last Update Date
- October 22, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 Tremont Ave
East Orange, NJ 07018-1023 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-1023
- Phone Number
- 973-676-1000
- Fax Number
- 973-395-7003
Provider Business Mailing Address Details
- Address
- 801 Walnut St
Roselle Park, NJ 07204-1350 - City
- Roselle Park
- State
- NJ
- Zip
- 07204-1350
- Phone Number
- 908-245-0604
License Information
- License Number
- 26NN09365100
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · 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 Jackito J Daitol, NP?
The NPI number of Jackito J Daitol, NP is 1891762662. It was assigned on March 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Jackito J Daitol, NP?
Jackito J Daitol, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NN09365100.
Where does Jackito J Daitol, NP practice?
The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (phone) or 973-395-7003 (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 1891762662 directly on the NPPES registry website.