Mr. Jose Rafael Jerez
M.D. | Pediatric Emergency Medicine | Male
Mr. Jose Rafael Jerez, M.D. is a New York, New York based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Mr. Jose Rafael Jerez is
3959 Broadway, Columbia University Department Pediatrics, New York, New York - 10032-1559. He can be contacted on phone at
212-304-7250 and fax number 212-544-1974.
Mr. Jose Rafael Jerez is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Jose Rafael Jerez is
1174582159 which was assigned by NPPES on 20 Mar, 2006 and it was last updated on 03 Jan, 2013.
Mr. Jose Rafael Jerez license number is
159415 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in New York.
Mr. Jose Rafael Jerez has special qualifications to manage emergencies in infants and children.
Complete Profile:
Mr. Jose Rafael Jerez basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Mr. Jose Rafael Jerez |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mr. Jose Rafael Jerez address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3959 Broadway, Columbia University Department Pediatrics
New York, NY, 10032-1559
United States |
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| Phone Number : | 212-304-7250 |
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| Fax Number : | 212-544-1974 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174582159 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Mar, 2006 |
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| Last Updated On : | 03 Jan, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jose Rafael Jerez are as mentioned. Primary taxonomy code for Mr. Jose Rafael Jerez, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 159415 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Jose Rafael Jerez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00844899 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 143 Schor Ave
Leonia, NJ, 07605-2237
United States |
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| Phone Number : | 201-461-0626 |
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Business Location:
Patients can refer following map for directions to
Mr. Jose Rafael Jerez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.