Active NPIIndividual provider

Alyssa J Custer, PA-C

Physician Assistant, Surgical in Berkeley Heights, New Jersey

NPI Number1093329781
Practice location
1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104
Fax
—
Last updated
October 24, 2023

Alyssa Joyce Custer is a Physician Assistant, Surgical based in Berkeley Heights, NJ. Alyssa Joyce Custer practices in Berkeley Heights, NJ and has the professional credentials of PA-C. The NPI Number for Alyssa Joyce Custer is 1093329781 and holds a License No. 25MP00617700 (NJ). The current practice location address for Alyssa Joyce Custer is 1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104 and can be reached out via phone at 908-273-4300.

Provider Profile Details

NPI Number
1093329781
Provider Name
Alyssa Joyce Custer
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104
Phone Number
908-273-4300
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
September 1, 2020
Last Update Date
October 24, 2023
Certification Date
October 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
Zip
07922-2104
Phone Number
908-273-4300
Berkeley Heights, NJ 07922Get directions →

Provider Business Mailing Address Details

Address
56 Bergen Dr
Little Falls, NJ 07424-1342
City
Little Falls
State
NJ
Zip
07424-1342
Phone Number
973-865-0336

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (3)
25MP00617700
License State (3)
NJ
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X · 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 Alyssa J Custer, PA-C?

The NPI number of Alyssa J Custer, PA-C is 1093329781. It was assigned on September 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Alyssa J Custer, PA-C?

Alyssa J Custer, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00617700.

Where does Alyssa J Custer, PA-C practice?

The practice location is 1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104. The office can be reached at 908-273-4300 (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 1093329781 directly on the NPPES registry website.

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