Active NPI
Priscilla G. Ilem, MD, MPH, LLC
- Psychiatry Physician
- Wayne, NJ
National Provider Identifier
1205151230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA0235250
- Legal business name
- PRISCILLA G. ILEM, MD, MPH, LLC
- Practice address
- 782 Alps Road
Wayne, NJ 07470-3920 - Phone
- (973) 628-1017
- Fax
- (973) 694-1362
- NPI assigned
- Apr 1, 2010
- Last updated
- Apr 1, 2010
- Organization subpart
- Yes
- Parent organization
- PRISCILLA G. ILEM, MD, MPH, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Priscilla G Ilem
- Title
- Psychiatrist
- Phone
- (973) 628-1017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA0235250 | NJ | Primary |
Addresses
Primary practice location
782 Alps Road
Wayne, NJ 07470-3920
Mailing address
782 Alps Road
Wayne, NJ 07470-3920
Phone (973) 628-1017
National Provider Directory
National Provider Directory- Part of
- Priscilla G Ilem MD MPH LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270080000000",
"number": "1205151230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "782 ALPS ROAD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703920",
"telephone_number": "973-628-1017",
"fax_number": "973-694-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "782 ALPS ROAD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703920",
"telephone_number": "973-628-1017",
"fax_number": "973-694-1362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISCILLA G. ILEM, MD, MPH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRISCILLA G. ILEM, MD, MPH, LLC",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A",
"authorized_official_last_name": "ILEM",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "973-628-1017",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA0235250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
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- Prime Visioncare L.L.C (Wayne EyeCare)
- Priority Health and Wellness Care LLC
- Professional Hearing Aid Services Inc
- Professional Home Health Care LLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- Provi Home Healthcare (DBA Pat-Providence Home Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.