Provider Demographics
NPI:1427846872
Name:MAYARD, JAMYR (MD)
Entity type:Individual
Prefix:
First Name:JAMYR
Middle Name:
Last Name:MAYARD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 CLARKE AVE APT 2F
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-1011
Mailing Address - Country:US
Mailing Address - Phone:631-875-8364
Mailing Address - Fax:
Practice Address - Street 1:101 HADDON AVENUE
Practice Address - Street 2:THIRD FLOOR, GME SUITE 304
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-342-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty