Geller, Jay David
Geller, Jay David is an individual health care provider with primary practice located at 310 Route 24 Suite B1A, Chester NJ 07930-2625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Geller, Jay David can be contacted via phone (908) 879-8800.Contact Information
Primary practice address
310 Route 24 Suite B1A
Chester NJ 07930-2625
Phone: (908) 879-8800
Fax: (908) 879-2955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA05059400 | New Jersey |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 25MA05059400 | New Jersey |
Profile Details
| NPI number | 1548261266 |
|---|---|
| LBN Legal business name | Geller, Jay David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Nov 20th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548261266 | NPPES |
| New Jersey | Other | 223167652 | TAXPAYER I.D. |
| New Jersey | MEDICAID | 5083401 | TAXPAYER I.D. |
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