Basic Information
| Provider Information | |||||||||
| NPI: | 1528265279 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PIERRE | ||||||||
| FirstName: | JOELLE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 19 ONE ROBERT WOOD JOHNSON PLACE | ||||||||
| Address2: | DEPARTMENT OF PEDIATRIC SURGERY | ||||||||
| City: | NEW BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 089030019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322357821 | ||||||||
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| Practice Location | |||||||||
| Address1: | 120 MINEOLA BLVD STE 210 | ||||||||
| Address2: | |||||||||
| City: | MINEOLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115014077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166634600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2007 | ||||||||
| LastUpdateDate: | 10/24/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0120X | 25MA08979700 | NJ | Y | Allopathic & Osteopathic Physicians | Surgery | Pediatric Surgery |
No ID Information.