Active NPIIndividual provider

Mrs. Mary E Reimundo, PA-C

Physician Assistant in Avenel, New Jersey

NPI Number1124235023
Practice location
1030 St Georges Ave, Ste 103A, Avenel, NJ 07001
Fax
—
Last updated
February 19, 2025

Mary Elizabeth Reimundo is a Physician Assistant based in Avenel, NJ. Mary Elizabeth Reimundo practices in Avenel, NJ and has the professional credentials of PA-C. The NPI Number for Mary Elizabeth Reimundo is 1124235023 and holds a License No. 25MP00108700 (NJ). The current practice location address for Mary Elizabeth Reimundo is 1030 St Georges Ave, Ste 103A, Avenel, NJ 07001 and can be reached out via phone at 732-596-0155.

Provider Profile Details

NPI Number
1124235023
Provider Name
Mary Elizabeth Reimundo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1030 St Georges Ave, Ste 103A, Avenel, NJ 07001
Phone Number
732-596-0155
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2007
Last Update Date
February 19, 2025
Certification Date
February 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1030 St Georges Ave
Ste 103A
Avenel, NJ 07001
City
Avenel
Zip
07001
Phone Number
732-596-0155
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD
Bldg 2, Ste 220
Red Bank, NJ 07701-5688
City
Red Bank
State
NJ
Zip
07701-5688

License Information

License Number
25MP00108700
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 Mrs. Mary E Reimundo, PA-C?

The NPI number of Mrs. Mary E Reimundo, PA-C is 1124235023. It was assigned on May 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary E Reimundo, PA-C?

Mrs. Mary E Reimundo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00108700.

Where does Mrs. Mary E Reimundo, PA-C practice?

The practice location is 1030 St Georges Ave, Ste 103A, Avenel, NJ 07001. The office can be reached at 732-596-0155 (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 1124235023 directly on the NPPES registry website.

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