Provider Demographics
NPI:1710297965
Name:RITT, JAKE EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAKE
Middle Name:EDWARD
Last Name:RITT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:140 PARK AVE
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1049
Practice Address - Country:US
Practice Address - Phone:973-404-7625
Practice Address - Fax:973-404-7769
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2020-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09699600207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology