Individual
ISHAAN JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-4300
Mailing address
17 DIVISION ST APT 504, JERSEY CITY, NJ 07302-1879
(732) 347-5736
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA12585100
NJ
207P00000X
Emergency Medicine Physician
335669
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
02/24/2026
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