Paula Ann Sjolund, D.O.
Individual provider Active NPI Internal Medicine Physician · Milltown, NJ
NPI 1659323731 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659323731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MB58170 (NJ)
- Practice address
- 72 Washington Ave
Milltown, NJ 08850-1220 - Phone
- (732) 828-1175
- Fax
- (732) 828-1195
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130207000050 | NJ | Practitioner - Internal Medicine | 2163480633 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB58170 | NJ | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MB58170 | NJ | Yes |
Addresses
Primary practice location
72 Washington Ave
Milltown, NJ 08850-1220
Mailing address
72 Washington Ave
Milltown, NJ 08850-1220
Phone (732) 828-1175
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- The Space Between Therapy & Comprehensive Psychological Services, LLC
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All providers in Milltown, NJ · Internal Medicine 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.