Active NPIIndividual provider

Miryam Quinn Doblas, PA-C

Physician Assistant, Medical in Bayonne, New Jersey

NPI Number1164903084
Practice location
564 Broadway, Bayonne, NJ 07002
Fax
201-455-3083
Last updated
March 25, 2021

Miryam Quinn Doblas is a Physician Assistant, Medical based in Bayonne, NJ. Miryam Quinn Doblas practices in Bayonne, NJ and has the professional credentials of PA-C. The NPI Number for Miryam Quinn Doblas is 1164903084 and holds a License No. 25mp00485600 (NJ). The current practice location address for Miryam Quinn Doblas is 564 Broadway, Bayonne, NJ 07002 and can be reached out via phone at 201-468-8888 and via fax at 201-455-3083.

Provider Profile Details

NPI Number
1164903084
Provider Name
Miryam Quinn Doblas
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
564 Broadway, Bayonne, NJ 07002
Phone Number
201-468-8888
Fax Number
201-455-3083
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2018
Last Update Date
March 25, 2021
Certification Date
March 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
564 Broadway
Bayonne, NJ 07002
Zip
07002
Phone Number
201-468-8888
Fax Number
201-455-3083
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
564 Broadway
Bayonne, NJ 07002-8828
City
Bayonne
State
NJ
Zip
07002-8828
Phone Number
201-468-8888
Fax Number
201-455-3083

License Information

License Number (1)
25mp00485600
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00485600
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Miryam Quinn Doblas, PA-C?

The NPI number of Miryam Quinn Doblas, PA-C is 1164903084. It was assigned on August 28, 2018 and is currently active in the NPPES registry.

What is the specialty of Miryam Quinn Doblas, PA-C?

Miryam Quinn Doblas, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25mp00485600.

Where does Miryam Quinn Doblas, PA-C practice?

The practice location is 564 Broadway, Bayonne, NJ 07002. The office can be reached at 201-468-8888 (phone) or 201-455-3083 (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 1164903084 directly on the NPPES registry website.

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