Jill K Mcgovern, PA-C
Physician Assistant in Ridgewood, New Jersey
1295360576- Practice location
- 106 Prospect Street, 3RD Floor, Ridgewood, NJ 07450-4433
- Phone
- 201-639-2656
- Fax
- —
- Last updated
- March 7, 2020
Jill Kathleen Mcgovern is a Physician Assistant based in Ridgewood, NJ. Jill Kathleen Mcgovern practices in Ridgewood, NJ and has the professional credentials of PA-C. The NPI Number for Jill Kathleen Mcgovern is 1295360576 and holds a License No. 25MP00562300 (NJ). The current practice location address for Jill Kathleen Mcgovern is 106 Prospect Street, 3RD Floor, Ridgewood, NJ 07450-4433 and can be reached out via phone at 201-639-2656.
Provider Profile Details
- NPI Number
- 1295360576
- Provider Name
- Jill Kathleen Mcgovern
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 106 Prospect Street, 3RD Floor, Ridgewood, NJ 07450-4433
- Phone Number
- 201-639-2656
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 7, 2020
- Last Update Date
- March 7, 2020
- Certification Date
- March 7, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 106 Prospect Street
3RD Floor
Ridgewood, NJ 07450-4433 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-4433
- Phone Number
- 201-639-2656
Provider Business Mailing Address Details
- Address
- 510 Demarest Avenue
Oradell, NJ 07649-1703 - City
- Oradell
- State
- NJ
- Zip
- 07649-1703
- Phone Number
- 201-527-7922
License Information
- License Number
- 25MP00562300
- License State
- NJ
- Taxonomy
- 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 Jill K Mcgovern, PA-C?
The NPI number of Jill K Mcgovern, PA-C is 1295360576. It was assigned on March 7, 2020 and is currently active in the NPPES registry.
What is the specialty of Jill K Mcgovern, PA-C?
Jill K Mcgovern, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00562300.
Where does Jill K Mcgovern, PA-C practice?
The practice location is 106 Prospect Street, 3RD Floor, Ridgewood, NJ 07450-4433. The office can be reached at 201-639-2656 (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 1295360576 directly on the NPPES registry website.