Whalio Doctors

NPI 1295979185

Dr Jayaram MD PC

Organisation Health Maintenance Organization Jersey City, NJ

Practice location

Address
530 Montgomery St, Jersey City, NJ 07302-3100
Phone
(201) 369-1100
Mailing address
182 Rockwood Pl, Englewood, NJ 07631-5028

Authorised official

Name
Ajit Jayaram
Title
Medical Director
Phone
(201) 369-1100

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence MA37221 (NJ)

Registry record

NPI
1295979185
Entity type
Organization
NPI issued
23 Apr 2009
Record last updated
23 Apr 2009

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.