Provider Demographics
NPI:1609109818
Name:JANOW, GINGER (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:
Last Name:JANOW
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PROSPECT AVE
Mailing Address - Street 2:WFAN 3RD FLOOR
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1915
Mailing Address - Country:US
Mailing Address - Phone:551-996-5306
Mailing Address - Fax:201-996-9815
Practice Address - Street 1:30 PROSPECT AVE
Practice Address - Street 2:WFAN 3RD FLOOR
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1915
Practice Address - Country:US
Practice Address - Phone:551-996-5306
Practice Address - Fax:201-996-9815
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253773208000000X
NJ25MA091195002080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics