Active NPIIndividual provider

Marina Grundman, PA-C

Physician Assistant in Iselin, New Jersey

NPI Number1326177528
Practice location
400 Gill Ln, Iselin, NJ 08830-3001
Fax
732-404-1594
Last updated
July 26, 2013

Marina Grundman is a Physician Assistant based in Iselin, NJ. Marina Grundman practices in Iselin, NJ and has the professional credentials of PA-C. The NPI Number for Marina Grundman is 1326177528 and holds a License No. 25MP00062700 (NJ). The current practice location address for Marina Grundman is 400 Gill Ln, Iselin, NJ 08830-3001 and can be reached out via phone at 732-404-1580 and via fax at 732-404-1594.

Provider Profile Details

NPI Number
1326177528
Provider Name
Marina Grundman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
400 Gill Ln, Iselin, NJ 08830-3001
Phone Number
732-404-1580
Fax Number
732-404-1594
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 5, 2007
Last Update Date
July 26, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Gill Ln
Iselin, NJ 08830-3001
City
Iselin
Zip
08830-3001
Phone Number
732-404-1580
Fax Number
732-404-1594
Iselin, NJ 08830Get directions →

Provider Business Mailing Address Details

Address
400 Gill Ln
Iselin, NJ 08830-3001
City
Iselin
State
NJ
Zip
08830-3001
Phone Number
732-404-1580
Fax Number
732-404-1594

License Information

License Number
25MP00062700
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 Iselin, NJ

View all Physician Assistants in Iselin →

Frequently Asked Questions

What is the NPI number of Marina Grundman, PA-C?

The NPI number of Marina Grundman, PA-C is 1326177528. It was assigned on March 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Marina Grundman, PA-C?

Marina Grundman, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00062700.

Where does Marina Grundman, PA-C practice?

The practice location is 400 Gill Ln, Iselin, NJ 08830-3001. The office can be reached at 732-404-1580 (phone) or 732-404-1594 (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 1326177528 directly on the NPPES registry website.

Browse related providers