| Jdj Medical Llc | |
|
314 E Main St Suite 403 Newark DE 19711-7128 | |
| (302) 983-2646 | |
| (302) 369-3093 |
| Full Name | Jdj Medical Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 314 E Main St, Newark, Delaware |
| Authorized Official Name and Position | Jeet Joshi (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3029832646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jdj Medical Llc 314 E Main St Suite 403 Newark DE 19711-7128 Ph: (302) 983-2646 | Jdj Medical Llc 314 E Main St Suite 403 Newark DE 19711-7128 Ph: (302) 983-2646 |
| NPI Number | 1699200873 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 4385912963 |
|---|---|
| Medicare Enrollment ID | O20170623000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699200873 | NPI | - | NPPES |
| Provider Name | Jeet D Joshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356634901 PECOS PAC ID: 9638464894 Enrollment ID: I20160826001029 |
| Provider Name | Stephanie Juarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083145932 PECOS PAC ID: 4789953258 Enrollment ID: I20170627002487 |
| Provider Name | Oluwadamilare A Shoneye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659009231 PECOS PAC ID: 6002274586 Enrollment ID: I20230614003920 |
| Provider Name | Jennifer Jacotin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699362327 PECOS PAC ID: 1759794100 Enrollment ID: I20230710001023 |
| Provider Name | Tiffany Michelle Whitehurst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801430368 PECOS PAC ID: 2365895752 Enrollment ID: I20240201002885 |
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