Provider Demographics
NPI:1700919800
Name:NOORJEHAN ESSA MD
Entity type:Organization
Organization Name:NOORJEHAN ESSA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NOORJEHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-396-3209
Mailing Address - Street 1:40 FULD ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08638
Mailing Address - Country:US
Mailing Address - Phone:609-396-3209
Mailing Address - Fax:609-777-5419
Practice Address - Street 1:40 FULD ST
Practice Address - Street 2:SUITE 301
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638
Practice Address - Country:US
Practice Address - Phone:609-396-3209
Practice Address - Fax:609-777-5419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1K0076OtherHEALTHNET
NJ2121409Medicaid
P1091487OtherOXFORD
1167714OtherHORIZON NJ HEALTH
1K0076OtherHEALTHNET