| Jake Gurland, M.d. | |
|
523 Broadway Bayonne NJ 07002-3735 | |
| (201) 649-1190 | |
| (201) 730-0433 |
| Full Name | Jake Gurland, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 523 Broadway, Bayonne, New Jersey |
| Authorized Official Name and Position | Jake Gurland (PROVIDER / OWNER) |
| Authorized Official Contact | 2016491190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Gurland, M.d. 523 Broadway Bayonne NJ 07002-3735 Ph: (201) 649-1190 | Jake Gurland, M.d. 523 Broadway Bayonne NJ 07002-3735 Ph: (201) 649-1190 |
| NPI Number | 1487227179 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 02/08/2022 |
| Medicare PECOS PAC ID | 9739578824 |
|---|---|
| Medicare Enrollment ID | O20211110002972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487227179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jake Gurland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174028435 PECOS PAC ID: 9436568896 Enrollment ID: I20210514001702 |
| Provider Name | Gaetane Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437637881 PECOS PAC ID: 1052662426 Enrollment ID: I20230929000436 |
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