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Jessica Hariwijaya
NPI 1982403325 · on the registry since 2025
Practice
- Address
- 15 Carbon Pl Apt 422
Jersey City, NJ 07305 - Phone
- (484) 456-9103
- Organisation at this address
- Brookstone Dialysis Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225A00000X
225A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-10
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