Kaitlyn P Probasco, PA-C
Physician Assistant in North Bergen, New Jersey
1356860308- Practice location
- 7600 River RD, North Bergen, NJ 07047-6217
- Phone
- 732-644-7256
- Fax
- —
- Last updated
- January 15, 2018
Kaitlyn Paige Probasco is a Physician Assistant based in North Bergen, NJ. Kaitlyn Paige Probasco practices in North Bergen, NJ and has the professional credentials of PA-C. The NPI Number for Kaitlyn Paige Probasco is 1356860308 and holds a License No. 25MP00453600 (NJ). The current practice location address for Kaitlyn Paige Probasco is 7600 River RD, North Bergen, NJ 07047-6217 and can be reached out via phone at 732-644-7256.
Provider Profile Details
- NPI Number
- 1356860308
- Provider Name
- Kaitlyn Paige Probasco
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7600 River RD, North Bergen, NJ 07047-6217
- Phone Number
- 732-644-7256
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 11, 2017
- Last Update Date
- January 15, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7600 River RD
North Bergen, NJ 07047-6217 - City
- North Bergen
- State
- New Jersey
- Zip
- 07047-6217
- Phone Number
- 732-644-7256
Provider Business Mailing Address Details
- Address
- 53 Ivins Dr
New Egypt, NJ 08533-2810 - City
- New Egypt
- State
- NJ
- Zip
- 08533-2810
- Phone Number
- 732-644-7256
License Information
- License Number
- 25MP00453600
- 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 Kaitlyn P Probasco, PA-C?
The NPI number of Kaitlyn P Probasco, PA-C is 1356860308. It was assigned on September 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Kaitlyn P Probasco, PA-C?
Kaitlyn P Probasco, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00453600.
Where does Kaitlyn P Probasco, PA-C practice?
The practice location is 7600 River RD, North Bergen, NJ 07047-6217. The office can be reached at 732-644-7256 (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 1356860308 directly on the NPPES registry website.