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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

556 Eagle Rock Ave
Ste 106
Roseland, NJ 07068
Phone (973) 228-9190

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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 Doing business as

Other providers in Roseland, NJ

All providers in Roseland, NJ · Pediatric Adolescent Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.