J.P. Makhlouf M.D. F.a.Ap. Tiziana Anello M.D F.a.a.P P.a.
Organization Active NPI Pediatric Adolescent Medicine Physician · Roseland, NJ
NPI 1811066798 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1811066798
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- 25MA03232300 (NJ)
- Legal business name
- J.P. MAKHLOUF M.D. F.A.AP. TIZIANA ANELLO M.D F.A.A.P P.A.
- Practice address
- 556 Eagle Rock Ave
Suite # 106
Roseland, NJ 07068-1503 - Phone
- (973) 228-9190
- Fax
- (973) 228-0730
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Ivelise Gonzalez
- Title
- Office Manager
- Phone
- (973) 226-7428
Practitioners 5
-
Tiziana Anello, MD
-
Beth R Levy, PA
National Provider Directory
Locations
556 Eagle Rock Ave
Ste 106
Roseland, NJ 07068
Phone (973) 228-9190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician |
2080A0000X | 25MA03232300 | NJ | Yes |
Addresses
Primary practice location
556 Eagle Rock Ave
Suite # 106
Roseland, NJ 07068-1503
Mailing address
556 Eagle Rock Ave
Suite # 106
Roseland, NJ 07068-1503
Phone (973) 228-9190
Other names
- Roseland Pediatrics
Other providers in Roseland, NJ
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- Infectious Disease Specialists LLC
- Infiinihealth Ipa, LLC
- Infinisurg, LLC
- Inna Ioffe
- Ira Jacobs
- Nicholas Ross Jacobs
- Kimberly Nicole Jaumot
- Jewish Service for the Developmentally Disabled of Metrowest, Inc.
- Jewish Service for the Developmentally Disabled of Metrowest, Inc.
All providers in Roseland, NJ · Pediatric Adolescent 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 Aug 22, 2020. 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.