Healthcare Provider Details

I. General information

NPI: 1295161628
Provider Name (Legal Business Name): JACQUELINE ROUNDS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 VENTNOR AVE
MARGATE CITY NJ
08402-2218
US

IV. Provider business mailing address

1 E NEW YORK AVE 4TH FLOOR
SOMERS POINT NJ
08244
US

V. Phone/Fax

Practice location:
  • Phone: 609-822-4800
  • Fax:
Mailing address:
  • Phone: 609-653-3265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB09768400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: