Active NPIIndividual provider

John R Larson, PA

Physician Assistant, Surgical in Neptune, New Jersey

NPI Number1356354666
Practice location
1945 State Route 33, Neptune, NJ 07753-4859
Fax
732-776-2428
Last updated
September 30, 2024

John R. Larson is a Physician Assistant, Surgical based in Neptune, NJ. John R. Larson practices in Neptune, NJ and has the professional credentials of PA. The NPI Number for John R. Larson is 1356354666 and holds a License No. PAC1053 (ND). The current practice location address for John R. Larson is 1945 State Route 33, Neptune, NJ 07753-4859 and can be reached out via phone at 732-776-4292 and via fax at 732-776-2428.

Provider Profile Details

NPI Number
1356354666
Provider Name
John R. Larson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1945 State Route 33, Neptune, NJ 07753-4859
Phone Number
732-776-4292
Fax Number
732-776-2428
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2006
Last Update Date
September 30, 2024
Certification Date
September 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1945 State Route 33
Neptune, NJ 07753-4859
Zip
07753-4859
Phone Number
732-776-4292
Fax Number
732-776-2428
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
1945 Route 33
Neptune, NJ 07754
City
Neptune
State
NJ
Zip
07754
Phone Number
732-776-4292
Fax Number
732-776-2428

License Information

License Number (1)
PAC1053
License State (1)
ND
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP000162
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · 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 John R Larson, PA?

The NPI number of John R Larson, PA is 1356354666. It was assigned on August 15, 2006 and is currently active in the NPPES registry.

What is the specialty of John R Larson, PA?

John R Larson, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in ND under license number PAC1053.

Where does John R Larson, PA practice?

The practice location is 1945 State Route 33, Neptune, NJ 07753-4859. The office can be reached at 732-776-4292 (phone) or 732-776-2428 (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 1356354666 directly on the NPPES registry website.

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