Provider Demographics
NPI:1487698163
Name:NEIGEL, JANET M (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:M
Last Name:NEIGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 OLD SHORT HILLS RD
Mailing Address - Street 2:SUITE # 204
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1000
Mailing Address - Country:US
Mailing Address - Phone:973-325-7779
Mailing Address - Fax:973-325-7914
Practice Address - Street 1:254 COLUMBIA TPKE STE 200
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1225
Practice Address - Country:US
Practice Address - Phone:973-410-1100
Practice Address - Fax:973-410-1101
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA40944174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3333701Medicaid
NJC53755Medicare UPIN
NJ3333701Medicaid