Individual
DINO NICOL E. DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
108 BILBY RD, SUITE 201, HACKETTSTOWN, NJ 07840-4174
(908) 684-3005
(908) 684-3301
Mailing address
108 BILBY RD, SUITE 201, HACKETTSTOWN, NJ 07840-4174
(908) 684-3005
(908) 684-3301
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25MB07828100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010046637
AMERICHOICE
NJ
05
—
0172014
—
NJ
01
—
1899455/9558120
AETNA
NJ
05
—
27845300-0
—
FL
01
—
310401
AVMED
FL
01
—
3551981000
AMERIHEALTH
NJ
01
—
3K8753
HEALTHNET
NJ
01
—
46931
UNIVERSITY HEALTH PLAN
NJ
01
—
60042586
HORIZON NJ HEALTH
NJ
01
—
8107063
CIGNA
FL
01
—
8107063
CIGNA
NJ
01
—
96156
BLUE CROSS/BLUE SHIELD
FL
01
—
P00459920
RAILROAD MEDICARE
FL
01
—
P3947633
OXFORD
NJ
Enumeration date
03/29/2007
Last updated
12/16/2021
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