JENNIFER MICHAELS M.D. NPI 1629176631

NPI Information

NPI: 1629176631
Provider Name: JENNIFER MICHAELS, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
90 BERGEN ST
DOC 8100
NEWARK, NJ
ZIP 07103
Phone: (973) 972-7151
Get Directions

Jennifer Michaels, M.D. is a neurology psychiatry neurology in Newark, NJ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Jennifer Michaels, M.D. NPI is 1629176631. 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:

90 BERGEN ST
DOC 8100
NEWARK, NJ
ZIP 07103-425
Phone: (973) 972-7151
Fax: (973) 972-7440

The NPI 1629176631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/22/2009.

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	207R00000X	Internal Medicine		25MA04662800	NEW JERSEY	No
2	2084N0400X	Psychiatry & Neurology	Neurology	25MA04662800	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	E51892	MEDICARE UPIN	NEW JERSEY
2	596828	MEDICARE PIN	NEW JERSEY
3	0115304	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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