Active NPIIndividual provider

Coleen S Mcdonald, PA-C

Physician Assistant in Clifton, New Jersey

NPI Number1023748357
Practice location
780 Route 3, Clifton, NJ 07012-2328
Fax
973-777-6745
Last updated
June 16, 2022

Coleen Shannon Mcdonald is a Physician Assistant based in Clifton, NJ. Coleen Shannon Mcdonald practices in Clifton, NJ and has the professional credentials of PA-C. The NPI Number for Coleen Shannon Mcdonald is 1023748357 and holds a License No. 25MP00708400 (NJ). The current practice location address for Coleen Shannon Mcdonald is 780 Route 3, Clifton, NJ 07012-2328 and can be reached out via phone at 973-777-6767 and via fax at 973-777-6745.

Provider Profile Details

NPI Number
1023748357
Provider Name
Coleen Shannon Mcdonald
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
780 Route 3, Clifton, NJ 07012-2328
Phone Number
973-777-6767
Fax Number
973-777-6745
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2022
Last Update Date
June 16, 2022
Certification Date
June 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
780 Route 3
Clifton, NJ 07012-2328
Zip
07012-2328
Phone Number
973-777-6767
Fax Number
973-777-6745
Clifton, NJ 07012Get directions →

Provider Business Mailing Address Details

Address
32 Schirra Dr
Wanaque, NJ 07465-1036
City
Wanaque
State
NJ
Zip
07465-1036
Phone Number
201-888-9824

License Information

License Number
25MP00708400
License State
NJ
Taxonomy
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 Coleen S Mcdonald, PA-C?

The NPI number of Coleen S Mcdonald, PA-C is 1023748357. It was assigned on June 10, 2022 and is currently active in the NPPES registry.

What is the specialty of Coleen S Mcdonald, PA-C?

Coleen S Mcdonald, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00708400.

Where does Coleen S Mcdonald, PA-C practice?

The practice location is 780 Route 3, Clifton, NJ 07012-2328. The office can be reached at 973-777-6767 (phone) or 973-777-6745 (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 1023748357 directly on the NPPES registry website.

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