Healthcare Provider Details

I. General information

NPI: 1942275078
Provider Name (Legal Business Name): CLAUDE MACAJOUX MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 WASHINGTON ST
NEWARK NJ
07102-3026
US

IV. Provider business mailing address

30 FUNDUS RD
WEST ORANGE NJ
07052-3511
US

V. Phone/Fax

Practice location:
  • Phone: 973-622-3900
  • Fax: 973-622-1698
Mailing address:
  • Phone: 973-731-0965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number25MA02833100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number25MA02833100
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number25MA02833100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: