MEDICARE: JORGE J FIGUEROA MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MA67655	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851420459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORGE J FIGUEROA MD LLC

Provider Business Mailing Address
First Line	:	10 OVERHILL RD
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-6282
Country	:	US
Telephone Number	:	201-770-9995
Fax Number	:	201-770-9996

Provider Business Practice Location Address
First Line	:	5600 KENNEDY BLVD W
Second Line	:	SUITE 200
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-1256
Country	:	US
Telephone Number	:	201-770-9995
Fax Number	:	201-770-9996

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE J FIGUEROA
Credential	:	MD
Telephone Number	:	201-770-9995

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	08/22/2020

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