SearchNew Jersey213ES0103X

Qiyun Jiang

NPI 1811576895 · on the registry since 2021 · sole proprietor

Practice

Address
6301 Kennedy Blvd
North Bergen, NJ 07047
Phone
(201) 662-8700
Organisation at this address
Jose Grullon Dpm
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey