Provider Demographics
NPI:1942638093
Name:JEY CARE LLC
Entity Type:Organization
Organization Name:JEY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEYACHANDRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJASEKARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-705-4436
Mailing Address - Street 1:99 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3741
Mailing Address - Country:US
Mailing Address - Phone:201-333-3433
Mailing Address - Fax:201-209-0423
Practice Address - Street 1:25 SONIA CT
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-4443
Practice Address - Country:US
Practice Address - Phone:732-767-1444
Practice Address - Fax:732-623-9855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07236000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty