Johannes H Dejong, M.D.
Individual provider Active NPI Independent Medical Examiner Physician · Brielle, NJ
NPI 1194029926 · NPPES record last updated Jan 9, 2011
Key facts
- NPI
- 1194029926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Medical Examiner Physician 202C00000X
- License
- 25MA01868000 (NJ)
- Practice address
- 4 Captain Bailey CT
Brielle, NJ 08730-1553 - Phone
- (732) 785-0151
- Fax
- (732) 785-7761
- NPI assigned
- Jan 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA01868000 | NJ | MD | Independent Medical Examiner Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | 25MA01868000 | NJ | Yes |
Addresses
Primary practice location
4 Captain Bailey CT
Brielle, NJ 08730-1553
Mailing address
4 Captain Bailey CT
Brielle, NJ 08730-1553
Phone (732) 785-0151
Other providers in Brielle, NJ
- Sydney Coleman
- Complete Diagnostic & Medical Center of NJ PC
- Lauren Cozzolino
- David I Kleinfeld, MD, PA
- Robert Warren Deatrick II
- Patrick F Donnelly
- DRS Tumas PC
- Nicolette Evans
- Ilan Gamburg
- Meghan Gilly
All providers in Brielle, NJ · Independent Medical Examiner Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.