Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN L FELLUS, M.D.
Active Sole ProprietorJONATHAN L FELLUS, M.D. is a Neurology healthcare provider located in RANDOLPH, New Jersey. NPI 1053309195 is currently active in the NPPES registry. Verify at CMS.
Neurology · RANDOLPH, NJ
Registration Details
- NPI Number
- 1053309195
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2005 (20.869306508848 yrs)
- Last Updated
- Jun 13, 2025
- License
-
25MA06616400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 CENTER GROVE RD STE 16RANDOLPH, NJ, 078694453Browse NJ providers · Browse ZIP 07869
- Phone
- 9737877402
- Fax
- 9738602205
- Primary Specialty
-
Neurology
2084N0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.