Johanna Kubichek
Physician Assistant, Medical in West Orange, New Jersey
1336697895- Practice location
- 456 Prospect Ave, West Orange, NJ 07052-4112
- Phone
- 973-731-6767
- Fax
- —
- Last updated
- May 12, 2021
Johanna Kubichek is a Physician Assistant, Medical based in West Orange, NJ. Johanna Kubichek practices in West Orange, NJ. The NPI Number for Johanna Kubichek is 1336697895 and holds a License No. 25MP00407800 (NJ). The current practice location address for Johanna Kubichek is 456 Prospect Ave, West Orange, NJ 07052-4112 and can be reached out via phone at 973-731-6767.
Provider Profile Details
- NPI Number
- 1336697895
- Provider Name
- Johanna Kubichek
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 456 Prospect Ave, West Orange, NJ 07052-4112
- Phone Number
- 973-731-6767
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 13, 2016
- Last Update Date
- May 12, 2021
- Certification Date
- May 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 456 Prospect Ave
West Orange, NJ 07052-4112 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-4112
- Phone Number
- 973-731-6767
Provider Business Mailing Address Details
- Address
- 328 W Saint Georges Ave
Linden, NJ 07036-5638 - City
- Linden
- State
- NJ
- Zip
- 07036-5638
- Phone Number
- 908-925-2273
License Information
- License Number
- 25MP00407800
- License State
- NJ
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · 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 Johanna Kubichek?
The NPI number of Johanna Kubichek is 1336697895. It was assigned on September 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Johanna Kubichek?
Johanna Kubichek is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00407800.
Where does Johanna Kubichek practice?
The practice location is 456 Prospect Ave, West Orange, NJ 07052-4112. The office can be reached at 973-731-6767 (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 1336697895 directly on the NPPES registry website.