National Provider Identifier Database

JEAN A OTRAKJI, MD – NPI #1154380996
Nephrology

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


Contact Information

JEAN A OTRAKJI, MD
721 N BEERS ST
SUITE 1-F
HOLMDEL, NJ07733-1518
Phone: 732-888-9100
Fax: 732-888-5515
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X

* Indicates primary specialty

NPI Profile & details for JEAN A OTRAKJI

NPI Number 1154380996
Credentials MD
Entity Individual
Enumeration date 03/21/2006
Last updated 08/19/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MA04735600
  • NJ Medicaid: 3266206
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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