Jeffrey V Dyke
Individual provider Active NPI Driver · North Brunswick, NJ
NPI 1245019744 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1245019744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 957 Cordelia St
North Brunswick, NJ 08902-4417 - Phone
- (609) 235-5994
- NPI assigned
- Sep 25, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
957 Cordelia St
North Brunswick, NJ 08902-4417
Mailing address
957 Cordelia St
North Brunswick, NJ 08902-4417
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2023. 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.