Active NPIIndividual provider

Mrs. Anna M Avanesyan, PA-C

Physician Assistant in Fair Lawn, New Jersey

NPI Number1306223045
Practice location
17-15 Maple Ave Ste 100, Fair Lawn, NJ 07410-1552
Fax
201-794-8086
Last updated
May 1, 2015

Anna M Avanesyan is a Physician Assistant based in Fair Lawn, NJ. Anna M Avanesyan practices in Fair Lawn, NJ and has the professional credentials of PA-C. The NPI Number for Anna M Avanesyan is 1306223045 and holds a License No. 25MP00336500 (NJ). The current practice location address for Anna M Avanesyan is 17-15 Maple Ave Ste 100, Fair Lawn, NJ 07410-1552 and can be reached out via phone at 201-794-8055 and via fax at 201-794-8086.

Provider Profile Details

NPI Number
1306223045
Provider Name
Anna M Avanesyan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
17-15 Maple Ave Ste 100, Fair Lawn, NJ 07410-1552
Phone Number
201-794-8055
Fax Number
201-794-8086
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2015
Last Update Date
May 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
17-15 Maple Ave Ste 100
Fair Lawn, NJ 07410-1552
Zip
07410-1552
Phone Number
201-794-8055
Fax Number
201-794-8086
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
17-15 Maple Ave Ste 100
Fair Lawn, NJ 07410-1552
City
Fair Lawn
State
NJ
Zip
07410-1552
Phone Number
201-794-8055
Fax Number
201-794-8086

License Information

License Number
25MP00336500
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.

Other Physician Assistants near Fair Lawn, NJ

View all Physician Assistants in Fair Lawn →

Frequently Asked Questions

What is the NPI number of Mrs. Anna M Avanesyan, PA-C?

The NPI number of Mrs. Anna M Avanesyan, PA-C is 1306223045. It was assigned on May 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Anna M Avanesyan, PA-C?

Mrs. Anna M Avanesyan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00336500.

Where does Mrs. Anna M Avanesyan, PA-C practice?

The practice location is 17-15 Maple Ave Ste 100, Fair Lawn, NJ 07410-1552. The office can be reached at 201-794-8055 (phone) or 201-794-8086 (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 1306223045 directly on the NPPES registry website.

Browse related providers