Provider Demographics
NPI:1316057250
Name:SAPERSTEIN, JEFFREY S (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:S
Last Name:SAPERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 PLEASANT VALLEY WAY
Mailing Address - Street 2:THE PEDIATRIC GROUP OF WEST ORANGE
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2998
Mailing Address - Country:US
Mailing Address - Phone:973-731-6100
Mailing Address - Fax:973-731-0612
Practice Address - Street 1:395 PLEASANT VALLEY WAY
Practice Address - Street 2:THE PEDIATRIC GROUP OF WEST ORANGE
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2998
Practice Address - Country:US
Practice Address - Phone:973-731-6100
Practice Address - Fax:973-731-0612
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA73196208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0064769Medicaid