Active NPIIndividual provider

Mrs. Laura A Pino, MS, PA-C

Physician Assistant in Moorestown, New Jersey

NPI Number1023094794
Practice location
147 E 3RD St, Suite 2, Moorestown, NJ 08057-2924
Fax
856-234-3907
Last updated
October 16, 2020

Laura Amanda Pino is a Physician Assistant based in Moorestown, NJ. Laura Amanda Pino practices in Moorestown, NJ and has the professional credentials of MS, PA-C. The NPI Number for Laura Amanda Pino is 1023094794 and holds a License No. ma053350 (PA). The current practice location address for Laura Amanda Pino is 147 E 3RD St, Suite 2, Moorestown, NJ 08057-2924 and can be reached out via phone at 856-234-2500 and via fax at 856-234-3907.

Provider Profile Details

NPI Number
1023094794
Provider Name
Laura Amanda Pino
Credential
MS, PA-C
Provider Entity Type
Individual
Gender
Female
Address
147 E 3RD St, Suite 2, Moorestown, NJ 08057-2924
Phone Number
856-234-2500
Fax Number
856-234-3907
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Miss Laura Amanda Haber, MS, PA-C (Former Name)
Provider Enumeration Date
December 15, 2005
Last Update Date
October 16, 2020
Certification Date
October 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
147 E 3RD St
Suite 2
Moorestown, NJ 08057-2924
Zip
08057-2924
Phone Number
856-234-2500
Fax Number
856-234-3907
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0340
Fax Number
856-355-0330

License Information

License Number (1)
ma053350
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
008803
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
25MP00097800
License State (3)
NJ
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 Mrs. Laura A Pino, MS, PA-C?

The NPI number of Mrs. Laura A Pino, MS, PA-C is 1023094794. It was assigned on December 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Mrs. Laura A Pino, MS, PA-C?

Mrs. Laura A Pino, MS, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number ma053350.

Where does Mrs. Laura A Pino, MS, PA-C practice?

The practice location is 147 E 3RD St, Suite 2, Moorestown, NJ 08057-2924. The office can be reached at 856-234-2500 (phone) or 856-234-3907 (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 1023094794 directly on the NPPES registry website.

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