Provider Demographics
NPI:1619209517
Name:AMOLAT-APIADO, MAY JENNIFER MACARAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:MAY JENNIFER
Middle Name:MACARAIG
Last Name:AMOLAT-APIADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MAY JENNIFER
Other - Middle Name:MACARAIG
Other - Last Name:AMOLAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MFM, MPH
Mailing Address - Street 1:57 YANCY DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3146
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:57 YANCY DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-3146
Practice Address - Country:US
Practice Address - Phone:917-743-1477
Practice Address - Fax:973-642-1984
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07920400207ZF0201X
NY229048207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology