Mr. Jose Rafael Jerez
Pediatric Emergency Doctor
3959 Broadway Columbia University Department Pediatrics
New York
, New York 10032-1559
Mr. Jose Rafael Jerez
Pediatric Emergency Doctor
3959 Broadway Columbia University Department Pediatrics
New York
, New York 10032-1559
(201) 461-0626
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Mr. Jose Rafael Jerez
- 143 Schor Ave
- Leonia, NJ
- Zip : 07605-2237
- Phone : (201) 461-0626
Second Address
- Mr. Jose Rafael Jerez
- 3959 Broadway Columbia University Department Pediatrics
- New York, NY
- Zip : 10032-1559
- Fax : (212) 544-1974
- Phone : (212) 304-7250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 159415 | NY |
National Provider Identifier
| NPI | 1174582159 |
|---|---|
| Provider Name | Mr. Jose Rafael Jerez |
| First Address | Leonia, NJ 07605-2237 |
| Second Address | New York, NY 10032-1559 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2006 |
| Last Update Date | 03/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00844899 | (05) | NY |
| F65599 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.