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Jaclyn A Calem-grunat

  • Female

Medical Specialty

Professional ID

  • NPI: 1134116478
  • PECOS ID: 8921064551
  • Enrollment ID: I20050722000674
  • Credential(MD, DO, DPM): MD
  • Medical School: Mount Sinai School Of Medicine Of City University Of New York
  • Medical School Graduation Year: 1988

Hospital Service

  • Hospital CCN1: 310012
  • Business Name (LBN)1: Valley Hospital
  • Hospital CCN2: 310001
  • Business Name (LBN)2: Hackensack University Medical Center
  • Hospital CCN3: 310019
  • Business Name (LBN)3: St Josephs Regional Medical Center

Medical Practices

  • Organization Name: Radiology Associates Of Ridgewood, Pa
  • Group Practice ID assigned by PECOS: 1254303332
  • Number of Group Practice member: 22

Location

  • Address1: 20 Franklin Tpke
  • Address2:
  • City: Waldwick
  • State: New Jersey
  • Zip Code: 07463
  • Phone Number: (201)445-8822

Location

  • Address1: 223 N Van Dien Ave
  • Address2: Valley Hospital
  • City: Ridgewood
  • State: New Jersey
  • Zip Code: 07450
  • Phone Number: (201)445-8822

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):