Active NPIIndividual provider

Mrs. Melissa W Bouffard, PA-C

Physician Assistant in Warren, New Jersey

NPI Number1033379961
Practice location
122 Mount Bethel RD Ste 1, Warren, NJ 07059-5127
Fax
908-756-8017
Last updated
March 14, 2024

Melissa Woods Bouffard is a Physician Assistant based in Warren, NJ. Melissa Woods Bouffard practices in Warren, NJ and has the professional credentials of PA-C. The NPI Number for Melissa Woods Bouffard is 1033379961 and holds a License No. 25MP00197800 (NJ). The current practice location address for Melissa Woods Bouffard is 122 Mount Bethel RD Ste 1, Warren, NJ 07059-5127 and can be reached out via phone at 908-756-7999 and via fax at 908-756-8017.

Provider Profile Details

NPI Number
1033379961
Provider Name
Melissa Woods Bouffard
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
122 Mount Bethel RD Ste 1, Warren, NJ 07059-5127
Phone Number
908-756-7999
Fax Number
908-756-8017
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2008
Last Update Date
March 14, 2024
Certification Date
March 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
122 Mount Bethel RD Ste 1
Warren, NJ 07059-5127
City
Warren
Zip
07059-5127
Phone Number
908-756-7999
Fax Number
908-756-8017
Warren, NJ 07059Get directions →

Provider Business Mailing Address Details

Address
122 Mount Bethel RD Ste 1
Warren, NJ 07059-5127
City
Warren
State
NJ
Zip
07059-5127
Phone Number
908-756-7999
Fax Number
908-756-8017

License Information

License Number (1)
25MP00197800
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
25MP00197800
License State (2)
NJ
Taxonomy (2)
Dermatology · 207N00000X

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. Melissa W Bouffard, PA-C?

The NPI number of Mrs. Melissa W Bouffard, PA-C is 1033379961. It was assigned on June 13, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melissa W Bouffard, PA-C?

Mrs. Melissa W Bouffard, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00197800.

Where does Mrs. Melissa W Bouffard, PA-C practice?

The practice location is 122 Mount Bethel RD Ste 1, Warren, NJ 07059-5127. The office can be reached at 908-756-7999 (phone) or 908-756-8017 (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 1033379961 directly on the NPPES registry website.

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