Kevin J Edgeworth, PA-C
Physician Assistant in Toms River, New Jersey
1174360234- Practice location
- 99 Nj-37, Toms River, NJ 08755
- Phone
- 732-557-8000
- Fax
- —
- Last updated
- August 22, 2024
Kevin Joseph Edgeworth is a Physician Assistant based in Toms River, NJ. Kevin Joseph Edgeworth practices in Toms River, NJ and has the professional credentials of PA-C. The NPI Number for Kevin Joseph Edgeworth is 1174360234 and holds a License No. 25MP00864600 (NJ). The current practice location address for Kevin Joseph Edgeworth is 99 Nj-37, Toms River, NJ 08755 and can be reached out via phone at 732-557-8000.
Provider Profile Details
- NPI Number
- 1174360234
- Provider Name
- Kevin Joseph Edgeworth
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 99 Nj-37, Toms River, NJ 08755
- Phone Number
- 732-557-8000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 15, 2024
- Last Update Date
- August 22, 2024
- Certification Date
- August 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Nj-37
Toms River, NJ 08755 - City
- Toms River
- State
- New Jersey
- Zip
- 08755
- Phone Number
- 732-557-8000
Provider Business Mailing Address Details
- Address
- 23 Stratford Dr
Freehold, NJ 07728-2734 - City
- Freehold
- State
- NJ
- Zip
- 07728-2734
- Phone Number
- 908-770-6216
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00864600
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kevin J Edgeworth, PA-C?
The NPI number of Kevin J Edgeworth, PA-C is 1174360234. It was assigned on July 15, 2024 and is currently active in the NPPES registry.
What is the specialty of Kevin J Edgeworth, PA-C?
Kevin J Edgeworth, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00864600.
Where does Kevin J Edgeworth, PA-C practice?
The practice location is 99 Nj-37, Toms River, NJ 08755. The office can be reached at 732-557-8000 (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 1174360234 directly on the NPPES registry website.