Active NPIIndividual provider

Amanda Fairbairn, PA-C

Physician Assistant in East Orange, New Jersey

NPI Number1225868185
Practice location
300 Central Ave, East Orange, NJ 07018-2819
Fax
—
Last updated
August 6, 2024

Amanda Fairbairn is a Physician Assistant based in East Orange, NJ. Amanda Fairbairn practices in East Orange, NJ and has the professional credentials of PA-C. The NPI Number for Amanda Fairbairn is 1225868185 and holds a License No. 25MP00876100 (NJ). The current practice location address for Amanda Fairbairn is 300 Central Ave, East Orange, NJ 07018-2819 and can be reached out via phone at 973-672-8400.

Provider Profile Details

NPI Number
1225868185
Provider Name
Amanda Fairbairn
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
300 Central Ave, East Orange, NJ 07018-2819
Phone Number
973-672-8400
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2024
Last Update Date
August 6, 2024
Certification Date
June 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Central Ave
East Orange, NJ 07018-2819
Zip
07018-2819
Phone Number
973-672-8400
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
Po Box 281
Bushkill, PA 18324-0281
City
Bushkill
State
PA
Zip
18324-0281

License Information

License Number
25MP00876100
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 Amanda Fairbairn, PA-C?

The NPI number of Amanda Fairbairn, PA-C is 1225868185. It was assigned on August 6, 2024 and is currently active in the NPPES registry.

What is the specialty of Amanda Fairbairn, PA-C?

Amanda Fairbairn, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00876100.

Where does Amanda Fairbairn, PA-C practice?

The practice location is 300 Central Ave, East Orange, NJ 07018-2819. The office can be reached at 973-672-8400 (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 1225868185 directly on the NPPES registry website.

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