Healthcare Provider Details

I. General information

NPI: 1598086969
Provider Name (Legal Business Name): JEYCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2010
Last Update Date: 11/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 RAINFORD RD
EDISON NJ
08820-2930
US

IV. Provider business mailing address

43 RAINFORD RD
EDISON NJ
08820-2930
US

V. Phone/Fax

Practice location:
  • Phone: 732-767-1444
  • Fax: 732-623-9855
Mailing address:
  • Phone: 732-767-1444
  • Fax: 732-623-9855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAJASEKARAN JEYACHANDRAN
Title or Position: PRESIDENT
Credential: MD
Phone: 732-767-1444