Active NPIIndividual provider

Jaclyn Azzara, PA-C

Physician Assistant in Langhorne, Pennsylvania

NPI Number1013422856
Practice location
1203 Langhorne Newtown RD Ste 226, Langhorne, PA 19047-1224
Fax
215-710-5181
Last updated
January 18, 2024

Jaclyn Azzara is a Physician Assistant based in Langhorne, PA. Jaclyn Azzara practices in Langhorne, PA and has the professional credentials of PA-C. The NPI Number for Jaclyn Azzara is 1013422856 and holds a License No. OA004390 (PA). The current practice location address for Jaclyn Azzara is 1203 Langhorne Newtown RD Ste 226, Langhorne, PA 19047-1224 and can be reached out via phone at 215-710-5522 and via fax at 215-710-5181.

Provider Profile Details

NPI Number
1013422856
Provider Name
Jaclyn Azzara
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1203 Langhorne Newtown RD Ste 226, Langhorne, PA 19047-1224
Phone Number
215-710-5522
Fax Number
215-710-5181
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 1, 2017
Last Update Date
January 18, 2024
Certification Date
January 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1203 Langhorne Newtown RD Ste 226
Langhorne, PA 19047-1224
Zip
19047-1224
Phone Number
215-710-5522
Fax Number
215-710-5181
Langhorne, PA 19047Get directions →

Provider Business Mailing Address Details

Address
41 University Dr Ste 300
Newtown, PA 18940-1873
City
Newtown
State
PA
Zip
18940-1873
Phone Number
215-710-5522
Fax Number
215-710-5181

License Information

License Number (1)
OA004390
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00457000
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
MA059548
License State (3)
PA
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaclyn Azzara, PA-C?

The NPI number of Jaclyn Azzara, PA-C is 1013422856. It was assigned on December 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Jaclyn Azzara, PA-C?

Jaclyn Azzara, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number OA004390.

Where does Jaclyn Azzara, PA-C practice?

The practice location is 1203 Langhorne Newtown RD Ste 226, Langhorne, PA 19047-1224. The office can be reached at 215-710-5522 (phone) or 215-710-5181 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013422856 directly on the NPPES registry website.

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