Provider Demographics
NPI:1740234962
Name:YOLETTE STERLING JEAN
Entity Type:Organization
Organization Name:YOLETTE STERLING JEAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:YOLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:STERLING JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-399-0005
Mailing Address - Street 1:1425 CLOVER LN
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2830
Mailing Address - Country:US
Mailing Address - Phone:973-399-0005
Mailing Address - Fax:973-374-3082
Practice Address - Street 1:987 SANFORD AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1444
Practice Address - Country:US
Practice Address - Phone:973-399-0005
Practice Address - Fax:973-374-3082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05687100207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6334504Medicaid
NJJE552154Medicare ID - Type Unspecified
NJF92734Medicare UPIN