# DR JAYARAM MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295979185
- **Authorized official:** DR. AJIT JAYARAM M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 369-1100

## Contact information

- **Practice address:** 530 MONTGOMERY ST, JERSEY CITY, NJ 07302-3100
- **Practice address phone:** (201) 369-1100
- **Mailing address:** 182 ROCKWOOD PL, ENGLEWOOD, NJ 07631-5028
- **Mailing address phone:** (201) 369-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | MA37221 | NJ | Yes |

## Other

- **Enumeration date:** 04/23/2009
- **Last updated:** 04/23/2009