Ross, Jacqueline
Ross, Jacqueline is an individual health care provider with primary practice located at 802 W Park Ave Suite 213, Ocean NJ 07712-8527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Ross, Jacqueline can be contacted via phone (732) 695-2555.Contact Information
Primary practice address
802 W Park Ave Suite 213
Ocean NJ 07712-8527
Phone: (732) 695-2555
Fax: (732) 695-2552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 25MA09114400 | New Jersey |
Profile Details
| NPI number | 1295055150 |
|---|---|
| LBN Legal business name | Ross, Jacqueline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2010 |
| Last updated | Oct 30th, 2023 - about 3 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 | 1295055150 | NPPES |
| New Jersey | Other | 242744ZVF5 | MEDICARE PTAN |
| New Jersey | Other | 242744ZKRP | MEDICARE PTAN |
| New Jersey | MEDICAID | 0297909 | MEDICARE PTAN |
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