Active NPIIndividual provider

Mr. Randall B Faber, PA-C

Physician Assistant in Vineland, New Jersey

NPI Number1205105954
Practice location
2950 College Dr Ste 1A, Vineland, NJ 08360-6933
Fax
—
Last updated
May 2, 2024

Randall Barry Faber is a Physician Assistant based in Vineland, NJ. Randall Barry Faber practices in Vineland, NJ and has the professional credentials of PA-C. The NPI Number for Randall Barry Faber is 1205105954 and holds a License No. 25MP00283700 (NJ). The current practice location address for Randall Barry Faber is 2950 College Dr Ste 1A, Vineland, NJ 08360-6933 and can be reached out via phone at 856-507-0600.

Provider Profile Details

NPI Number
1205105954
Provider Name
Randall Barry Faber
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2950 College Dr Ste 1A, Vineland, NJ 08360-6933
Phone Number
856-507-0600
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 27, 2011
Last Update Date
May 2, 2024
Certification Date
May 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2950 College Dr Ste 1A
Vineland, NJ 08360-6933
Zip
08360-6933
Phone Number
856-507-0600
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1 Federal St Ste 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
848-288-6935
Fax Number
732-790-0107

License Information

License Number
25MP00283700
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 Mr. Randall B Faber, PA-C?

The NPI number of Mr. Randall B Faber, PA-C is 1205105954. It was assigned on December 27, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Randall B Faber, PA-C?

Mr. Randall B Faber, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00283700.

Where does Mr. Randall B Faber, PA-C practice?

The practice location is 2950 College Dr Ste 1A, Vineland, NJ 08360-6933. The office can be reached at 856-507-0600 (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 1205105954 directly on the NPPES registry website.

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