Provider Demographics
NPI:1356791503
Name:DONATO, JAD A (MD)
Entity type:Individual
Prefix:DR
First Name:JAD
Middle Name:A
Last Name:DONATO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1447
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1447
Mailing Address - Country:US
Mailing Address - Phone:201-546-8510
Mailing Address - Fax:201-957-7316
Practice Address - Street 1:381 PARK STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4350
Practice Address - Country:US
Practice Address - Phone:201-546-8510
Practice Address - Fax:201-957-7316
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA110868002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA11086800OtherLICENSE