Provider Demographics
NPI:1831351865
Name:IVELJA-HILL, DANIJELA (MD)
Entity type:Individual
Prefix:DR
First Name:DANIJELA
Middle Name:
Last Name:IVELJA-HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-1502
Mailing Address - Country:US
Mailing Address - Phone:973-813-4979
Mailing Address - Fax:973-813-4979
Practice Address - Street 1:20 COMMUNITY PL
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7500
Practice Address - Country:US
Practice Address - Phone:973-813-4979
Practice Address - Fax:973-813-4979
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA091281002084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ31-4011OtherUBHC MEDICARE
NJ4144007Medicaid