Provider Demographics
NPI:1134102106
Name:SZYLIT, JO-ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JO-ANN
Middle Name:
Last Name:SZYLIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 KINNELON RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2333
Mailing Address - Country:US
Mailing Address - Phone:973-838-1771
Mailing Address - Fax:973-492-2858
Practice Address - Street 1:135 KINNELON RD
Practice Address - Street 2:SUITE 103
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-2333
Practice Address - Country:US
Practice Address - Phone:973-838-1771
Practice Address - Fax:973-492-2858
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139-353207N00000X
NJ25MA04598300207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0566900Medicaid
C63215Medicare UPIN
NJ508137YAENMedicare PIN
NJ0566900Medicaid
NJ070003904Medicare PIN