NPI 1164007043
Jls Medical PC
Practice location
- Address
- 550 Broad St STE 606, Newark, NJ 07102-4537
- Phone
- (201) 822-1161
- Fax
- (877) 485-8918
- Mailing address
- 43 S Ridge CT, Ridgefield, CT 06877-5420
Authorised official
- Name
- April Lee
- Title
- Manager
- Phone
- (425) 458-8525
Registered specialties (4)
Psychiatry Physician
Primary
Pediatrics Physician
Mental Health Clinic/Center (Including Community Mental Health Center)
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1164007043
- Entity type
- Organization
- NPI issued
- 12 Mar 2021
- Record last updated
- 8 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.