| J. Slim, Llc | |
|
111 Central Ave Newark NJ 07102-1909 | |
| (239) 597-0704 | |
| (239) 597-0709 |
| Full Name | J. Slim, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Central Ave, Newark, New Jersey |
| Authorized Official Name and Position | Jihad Slim (PRESIDENT) |
| Authorized Official Contact | 2395970704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Slim, Llc Po Box 8179 Glen Ridge NJ 07028-8179 Ph: (239) 597-0704 | J. Slim, Llc 111 Central Ave Newark NJ 07102-1909 Ph: (239) 597-0704 |
| NPI Number | 1447586284 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 12/20/2019 |
| Medicare PECOS PAC ID | 0547305575 |
|---|---|
| Medicare Enrollment ID | O20100302000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447586284 | NPI | - | NPPES |
| 0225746 | Medicaid | NJ | |
| 1015508 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA04504500 (New Jersey) | Primary |
| Provider Name | Jihad Slim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366411076 PECOS PAC ID: 0547295743 Enrollment ID: I20050927000651 |
| Provider Name | Rajasingam Jayasingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447409636 PECOS PAC ID: 1759439144 Enrollment ID: I20120608000440 |
| Provider Name | Maria E Szabela |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417379983 PECOS PAC ID: 6103195755 Enrollment ID: I20170713000627 |
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