DR. JACQUELYN ESTERDAY DIX M.D. NPI 1700949526

NPI Information

NPI: 1700949526
Provider Name: DR. JACQUELYN ESTERDAY DIX, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
187 MILLBURN AVE
SUITE 3
MILLBURN, NJ
ZIP 07041
Phone: (973) 379-1441
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DR. Jacquelyn Esterday Dix, M.D. is a specialist in Millburn, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jacquelyn Esterday Dix, M.D. NPI is 1700949526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

187 MILLBURN AVE
SUITE 3
MILLBURN, NJ
ZIP 07041-847
Phone: (973) 379-1441
Fax: (973) 379-6120

The enumeration date for this NPI number is 12/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MA35152	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	457643	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	2531402	MEDICAID	NEW JERSEY
3	C35936	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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