Provider Demographics
NPI:1629095153
Name:MEROPOL, NEAL JAY (MD)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:JAY
Last Name:MEROPOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 REMSEN ST. APT 19A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:215-499-4448
Mailing Address - Fax:
Practice Address - Street 1:153 REMSEN ST. APT 19A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:215-499-4448
Practice Address - Fax:216-368-1166
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041250E174400000X, 207RX0202X
NY189764207R00000X, 207RH0003X, 207RX0202X
OH35-094163207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015502290003Medicaid
OH0955211Medicaid
OH0955211Medicaid
OHP00808470Medicare PIN
PAF66687Medicare UPIN
PA018803GJSMedicare PIN