1619209517 NPI number — DR. MAY JENNIFER MACARAIG AMOLAT-APIADO MD

Table of content: DR. MAY JENNIFER MACARAIG AMOLAT-APIADO MD (NPI 1619209517)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619209517 NPI number — DR. MAY JENNIFER MACARAIG AMOLAT-APIADO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AMOLAT-APIADO
Provider First Name:
MAY JENNIFER
Provider Middle Name:
MACARAIG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
AMOLAT
Provider Other First Name:
MAY JENNIFER
Provider Other Middle Name:
MACARAIG
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD, MFM, MPH
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1619209517
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
57 YANCY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWARK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07103-3146
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
57 YANCY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07103-3146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-743-1477
Provider Business Practice Location Address Fax Number:
973-642-1984
Provider Enumeration Date:
02/03/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZF0201X , with the licence number:  25MA07920400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0101X , with the licence number: 229048 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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