MEDICARE: JEAN EILEEN READIE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	25MB08008000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912011420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN EILEEN READIE DO

Provider Business Mailing Address
First Line	:	350 ENGLE ST
Second Line	:	ENGLEWOOD HOSPITAL - EMERG DEPT
City	:	ENGLEWOOD
State	:	NJ
Zip	:	07631-1808
Country	:	US
Telephone Number	:	201-894-3450
Fax Number	:	201-541-2977

Provider Business Practice Location Address
First Line	:	350 ENGLE ST
Second Line	:	ENGLEWOOD HOSPITAL - EMERG DEPT
City	:	ENGLEWOOD
State	:	NJ
Zip	:	07631-1808
Country	:	US
Telephone Number	:	201-894-3450
Fax Number	:	201-541-2977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	03/04/2026

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Directions to “ JEAN EILEEN READIE DO” Practice Location

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