Active NPIIndividual provider

John K Flanagan, PA-C

Physician Assistant in Summit, New Jersey

NPI Number1104770338
Practice location
99 Beauvoir Ave, Summit, NJ 07901-3533
Fax
—
Last updated
November 4, 2026

John Kevin Flanagan is a Physician Assistant based in Summit, NJ. John Kevin Flanagan practices in Summit, NJ and has the professional credentials of PA-C. The NPI Number for John Kevin Flanagan is 1104770338 and holds a License No. 25MP01001400 (NJ). The current practice location address for John Kevin Flanagan is 99 Beauvoir Ave, Summit, NJ 07901-3533 and can be reached out via phone at 908-522-2232.

Provider Profile Details

NPI Number
1104770338
Provider Name
John Kevin Flanagan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
99 Beauvoir Ave, Summit, NJ 07901-3533
Phone Number
908-522-2232
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 24, 2026
Last Update Date
November 4, 2026
Certification Date
November 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 Beauvoir Ave
Summit, NJ 07901-3533
City
Summit
Zip
07901-3533
Phone Number
908-522-2232
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
27 Belmont Ave
Madison, NJ 07940-2606
City
Madison
State
NJ
Zip
07940-2606

License Information

License Number
25MP01001400
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 John K Flanagan, PA-C?

The NPI number of John K Flanagan, PA-C is 1104770338. It was assigned on February 24, 2026 and is currently active in the NPPES registry.

What is the specialty of John K Flanagan, PA-C?

John K Flanagan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP01001400.

Where does John K Flanagan, PA-C practice?

The practice location is 99 Beauvoir Ave, Summit, NJ 07901-3533. The office can be reached at 908-522-2232 (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 1104770338 directly on the NPPES registry website.

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