Active NPIIndividual providerSole proprietor

Mr. Rory E Tippit, PA-C

Physician Assistant in Fort Dix, New Jersey

NPI Number1073842068
Practice location
6749 E 16TH St, 21ST Cst Wmd, Fort Dix, NJ 08640-5709
Fax
—
Last updated
December 22, 2009

Rory E Tippit is a Physician Assistant based in Fort Dix, NJ. Rory E Tippit practices in Fort Dix, NJ and has the professional credentials of PA-C. The NPI Number for Rory E Tippit is 1073842068 and holds a License No. 25MP00225700 (NJ). The current practice location address for Rory E Tippit is 6749 E 16TH St, 21ST Cst Wmd, Fort Dix, NJ 08640-5709 and can be reached out via phone at 210-383-1934.

Provider Profile Details

NPI Number
1073842068
Provider Name
Rory E Tippit
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6749 E 16TH St, 21ST Cst Wmd, Fort Dix, NJ 08640-5709
Phone Number
210-383-1934
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 22, 2009
Last Update Date
December 22, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
6749 E 16TH St
21ST Cst Wmd
Fort Dix, NJ 08640-5709
Zip
08640-5709
Phone Number
210-383-1934
Fort Dix, NJ 08640Get directions →

Provider Business Mailing Address Details

Address
6749 E 16TH St
21ST Cst Wmd
Fort Dix, NJ 08640-5709
City
Fort Dix
State
NJ
Zip
08640-5709
Phone Number
210-383-1934

License Information

License Number (1)
25MP00225700
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
MA053978
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X

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. Rory E Tippit, PA-C?

The NPI number of Mr. Rory E Tippit, PA-C is 1073842068. It was assigned on December 22, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Rory E Tippit, PA-C?

Mr. Rory E Tippit, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00225700.

Where does Mr. Rory E Tippit, PA-C practice?

The practice location is 6749 E 16TH St, 21ST Cst Wmd, Fort Dix, NJ 08640-5709. The office can be reached at 210-383-1934 (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 1073842068 directly on the NPPES registry website.

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