Active NPIIndividual providerSole proprietor

Mary Jelderks, MD

Internal Medicine, Rheumatology in Ridgewood, New Jersey

NPI Number1972164077
Practice location
1200 E Ridgewood Ave Ste 306, Ridgewood, NJ 07450-3937
Fax
—
Last updated
January 21, 2025

Mary Jelderks is an Internal Medicine, Rheumatology based in Ridgewood, NJ. Mary Jelderks practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Mary Jelderks is 1972164077 and holds a License No. 25MA12465700 (NJ). The current practice location address for Mary Jelderks is 1200 E Ridgewood Ave Ste 306, Ridgewood, NJ 07450-3937 and can be reached out via phone at 201-389-0096.

Provider Profile Details

NPI Number
1972164077
Provider Name
Mary Jelderks
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1200 E Ridgewood Ave Ste 306, Ridgewood, NJ 07450-3937
Phone Number
201-389-0096
Primary Taxonomy
Internal Medicine, Rheumatology · 207RR0500X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2019
Last Update Date
January 21, 2025
Certification Date
January 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave Ste 306
Ridgewood, NJ 07450-3937
Zip
07450-3937
Phone Number
201-389-0096
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1200 E Ridgewood Ave Ste 306
Ridgewood, NJ 07450-3937
City
Ridgewood
State
NJ
Zip
07450-3937
Phone Number
201-389-0096

License Information

License Number
25MA12465700
License State
NJ
Taxonomy
Internal Medicine, Rheumatology · 207RR0500X · 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 Mary Jelderks, MD?

The NPI number of Mary Jelderks, MD is 1972164077. It was assigned on June 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Mary Jelderks, MD?

Mary Jelderks, MD is registered under the primary taxonomy Internal Medicine, Rheumatology (code 207RR0500X), licensed in NJ under license number 25MA12465700.

Where does Mary Jelderks, MD practice?

The practice location is 1200 E Ridgewood Ave Ste 306, Ridgewood, NJ 07450-3937. The office can be reached at 201-389-0096 (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 1972164077 directly on the NPPES registry website.

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