Active NPIIndividual provider

Mr. John E Avery, PA-C

Physician Assistant in Glen Rock, New Jersey

NPI Number1043393416
Practice location
65 Concord Ave, Glen Rock, NJ 07452-1602
Fax
—
Last updated
July 8, 2007

John Edward Avery is a Physician Assistant based in Glen Rock, NJ. John Edward Avery practices in Glen Rock, NJ and has the professional credentials of PA-C. The NPI Number for John Edward Avery is 1043393416 and holds a License No. mp00475 (NJ). The current practice location address for John Edward Avery is 65 Concord Ave, Glen Rock, NJ 07452-1602 and can be reached out via phone at 201-612-0907.

Provider Profile Details

NPI Number
1043393416
Provider Name
John Edward Avery
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
65 Concord Ave, Glen Rock, NJ 07452-1602
Phone Number
201-612-0907
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Concord Ave
Glen Rock, NJ 07452-1602
Zip
07452-1602
Phone Number
201-612-0907
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
65 Concord Ave
Glen Rock, NJ 07452-1602
City
Glen Rock
State
NJ
Zip
07452-1602
Phone Number
201-612-0907

License Information

License Number
mp00475
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 Mr. John E Avery, PA-C?

The NPI number of Mr. John E Avery, PA-C is 1043393416. It was assigned on October 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. John E Avery, PA-C?

Mr. John E Avery, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number mp00475.

Where does Mr. John E Avery, PA-C practice?

The practice location is 65 Concord Ave, Glen Rock, NJ 07452-1602. The office can be reached at 201-612-0907 (phone).

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 1043393416 directly on the NPPES registry website.

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