Jonathan Seth Jaffe, M.D.

Individual provider Active NPI Allergy & Immunology Physician · Annandale, NJ

NPI 1770748378 · NPPES record last updated Dec 28, 2018

Key facts

NPI
1770748378
Entity type
Individual (NPI type 1)
Primary specialty
Allergy & Immunology Physician 207K00000X
License
162746-1 (NY)
Practice address
38 Southgate Drive
Annandale, NJ 08801
Phone
(908) 730-0831
NPI assigned
Jul 23, 2008
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

LicenseStateTypeSpecialty
162746-1NYMDAllergy & Immunology Physician
MD047417LPAMDAllergy & Immunology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD047417L PA
Allergy & Immunology Physician 207K00000X 162746-1 NY Yes

Addresses

Primary practice location

38 Southgate Drive
Annandale, NJ 08801

Mailing address

38 Southgate Drive
Annandale, NJ 08801
Phone (908) 730-0831

Other providers in Annandale, NJ

All providers in Annandale, NJ · Allergy & Immunology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.