Provider Demographics
NPI:1588624167
Name:SEMEL, WILLIAM JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAY
Last Name:SEMEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:JAY
Other - Last Name:SEMEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:22 OLD SHORT HILLS RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5604
Mailing Address - Country:US
Mailing Address - Phone:973-533-1499
Mailing Address - Fax:973-533-0197
Practice Address - Street 1:22 OLD SHORT HILLS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5604
Practice Address - Country:US
Practice Address - Phone:973-533-1499
Practice Address - Fax:973-533-0197
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA199092080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine