Healthcare Provider Details

I. General information

NPI: 1245161355
Provider Name (Legal Business Name): JAYLEE GERIATRICS & PALLIATIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 ROUTE 70 STE 204
TOMS RIVER NJ
08755-0954
US

IV. Provider business mailing address

175 ROUTE 70 STE 204
TOMS RIVER NJ
08755-0954
US

V. Phone/Fax

Practice location:
  • Phone: 732-313-0880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ISRAEL
Title or Position: PRESIDENT
Credential:
Phone: 732-313-0880