Provider Demographics
NPI:1316748478
Name:OVETSKY, JONATHAN ARON
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:ARON
Last Name:OVETSKY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 COOK RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2828
Mailing Address - Country:US
Mailing Address - Phone:732-570-7644
Mailing Address - Fax:
Practice Address - Street 1:18 COOK RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2828
Practice Address - Country:US
Practice Address - Phone:732-570-7644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program