Organization
ELIZABETH EMERGENCY PHYSICIANS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL T JORDAN MD (CHAIRMAN)
(908) 994-5263
Entity
Organization
Contact information
Practice address
225 WILLIAMSON STREET, ELIZABETH, NJ 07207-3600
(908) 257-5000
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4918
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NJ
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02041596
NY MEDICAID
NJ
01
—
0218957
UNITED HEALTHCARE
NJ
01
—
1125336
HORIZON NJ HEALTH
NJ
01
—
2069262
AETNA
NJ
01
—
20990
UNIVERSITY HEALTH PLANS
NJ
01
—
2K3577
HEALTH NET OF THE NORTHEA
NJ
01
—
5506134
GHI
NJ
05
—
7811403
—
NJ
01
—
CI3012
RAILROAD MEDICARE
NJ
01
—
G1099898
OXFORD
NJ
01
—
W3M98
WELLCHOICE
NJ
Enumeration date
06/07/2006
Last updated
07/21/2022
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