Active NPIIndividual provider

Iwona Pedatella, PA-C

Physician Assistant, Medical in Montvale, New Jersey

NPI Number1043554512
Practice location
221 W Grand Ave, Montvale, NJ 07645-1729
Fax
—
Last updated
November 21, 2012

Iwona Pedatella is a Physician Assistant, Medical based in Montvale, NJ. Iwona Pedatella practices in Montvale, NJ and has the professional credentials of PA-C. The NPI Number for Iwona Pedatella is 1043554512 and holds a License No. 25MP00290300 (NJ). The current practice location address for Iwona Pedatella is 221 W Grand Ave, Montvale, NJ 07645-1729 and can be reached out via phone at 201-307-0075.

Provider Profile Details

NPI Number
1043554512
Provider Name
Iwona Pedatella
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
221 W Grand Ave, Montvale, NJ 07645-1729
Phone Number
201-307-0075
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
November 21, 2012
Last Update Date
November 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
221 W Grand Ave
Montvale, NJ 07645-1729
Zip
07645-1729
Phone Number
201-307-0075
Montvale, NJ 07645Get directions →

Provider Business Mailing Address Details

Address
4000 Riverdale RD
402
Riverdale, NJ 07457-1729
City
Riverdale
State
NJ
Zip
07457-1729
Phone Number
973-896-1344

License Information

License Number
25MP00290300
License State
NJ
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Iwona Pedatella, PA-C?

The NPI number of Iwona Pedatella, PA-C is 1043554512. It was assigned on November 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Iwona Pedatella, PA-C?

Iwona Pedatella, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00290300.

Where does Iwona Pedatella, PA-C practice?

The practice location is 221 W Grand Ave, Montvale, NJ 07645-1729. The office can be reached at 201-307-0075 (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 1043554512 directly on the NPPES registry website.

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