Basic Information
| Provider Information | |||||||||
| NPI: | 1629164918 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AJI | ||||||||
| FirstName: | JANAH | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FEDERAL ST # 100 | ||||||||
| Address2: | |||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031088 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563564924 | ||||||||
| FaxNumber: | 8563564793 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 CENTENNIAL BLVD | ||||||||
| Address2: | BUILDING 2 SUITE 202 | ||||||||
| City: | VOORHEES | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080434637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563256700 | ||||||||
| FaxNumber: | 8563256702 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2006 | ||||||||
| LastUpdateDate: | 02/01/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | MD072350L | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | MA47669 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 0369546000 | 01 | NJ | AMERIHEALTH HMO | OTHER | 060047034 | 01 | NJ | RSAILROAD MEDICARE | OTHER | 3K5948 | 01 | NJ | HEALTHNET, INC | OTHER | 551668 | 01 | NJ | AMERIHEALTH PPO PABS | OTHER | CA0000169 00 | 01 | NJ | AMERICHOICE | OTHER | 0198224 | 01 | NJ | CIGNA | OTHER | 1066074 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 1491504 | 05 | NJ | MEDICAID | 852690 | 01 | NJ | AETNA US HEALTHCARE | OTHER | 18925 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | P430257 | 01 | NJ | OXFORD HEALTH PLAN | OTHER | 186000504 | 01 | NJ | UNITED HEALTH CARE | OTHER | 1860005 | 01 | NJ | UNITED HEALTH CARE | OTHER |