Active NPIIndividual provider

Rebecca M Keenan, PAC

Physician Assistant in Flanders, New Jersey

NPI Number1164623740
Practice location
183 Route 206 South, Flanders, NJ 07836-9050
Fax
973-347-3141
Last updated
July 8, 2007

Rebecca M Keenan is a Physician Assistant based in Flanders, NJ. Rebecca M Keenan practices in Flanders, NJ and has the professional credentials of PAC. The NPI Number for Rebecca M Keenan is 1164623740 and holds a License No. 25MP00098400 (NJ). The current practice location address for Rebecca M Keenan is 183 Route 206 South, Flanders, NJ 07836-9050 and can be reached out via phone at 973-347-3277 and via fax at 973-347-3141.

Provider Profile Details

NPI Number
1164623740
Provider Name
Rebecca M Keenan
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
183 Route 206 South, Flanders, NJ 07836-9050
Phone Number
973-347-3277
Fax Number
973-347-3141
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
183 Route 206 South
Flanders, NJ 07836-9050
Zip
07836-9050
Phone Number
973-347-3277
Fax Number
973-347-3141
Flanders, NJ 07836Get directions →

Provider Business Mailing Address Details

Address
183 Route 206 South
Flanders, NJ 07836-9050
City
Flanders
State
NJ
Zip
07836-9050
Phone Number
973-347-3277
Fax Number
973-347-3141

License Information

License Number
25MP00098400
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 Rebecca M Keenan, PAC?

The NPI number of Rebecca M Keenan, PAC is 1164623740. It was assigned on May 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Rebecca M Keenan, PAC?

Rebecca M Keenan, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00098400.

Where does Rebecca M Keenan, PAC practice?

The practice location is 183 Route 206 South, Flanders, NJ 07836-9050. The office can be reached at 973-347-3277 (phone) or 973-347-3141 (fax).

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 1164623740 directly on the NPPES registry website.

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