Healthcare Provider Details

I. General information

NPI: 1356784003
Provider Name (Legal Business Name): BJAUN HOWARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3830 ATLANTIC AVE
ATLANTIC CITY NJ
08401
US

IV. Provider business mailing address

3600 ROUTE 66 3RD FL
NEPTUNE NJ
07753-2645
US

V. Phone/Fax

Practice location:
  • Phone: 609-345-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA11976500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101258384
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: