Sijo Devasia
Physician Assistant in Springfield, New Jersey
1366046492- Practice location
- 385 Morris Ave Fl 2, Springfield, NJ 07081-1151
- Phone
- 973-379-2111
- Fax
- 973-379-2807
- Last updated
- December 2, 2022
Sijo Devasia is a Physician Assistant based in Springfield, NJ. Sijo Devasia practices in Springfield, NJ. The NPI Number for Sijo Devasia is 1366046492 and holds a License No. 25MP00584000 (NJ). The current practice location address for Sijo Devasia is 385 Morris Ave Fl 2, Springfield, NJ 07081-1151 and can be reached out via phone at 973-379-2111 and via fax at 973-379-2807.
Provider Profile Details
- NPI Number
- 1366046492
- Provider Name
- Sijo Devasia
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 385 Morris Ave Fl 2, Springfield, NJ 07081-1151
- Phone Number
- 973-379-2111
- Fax Number
- 973-379-2807
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 30, 2020
- Last Update Date
- December 2, 2022
- Certification Date
- December 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 Morris Ave Fl 2
Springfield, NJ 07081-1151 - City
- Springfield
- State
- New Jersey
- Zip
- 07081-1151
- Phone Number
- 973-379-2111
- Fax Number
- 973-379-2807
Provider Business Mailing Address Details
- Address
- Po Box 416457
Boston, MA 02241-6457 - City
- Boston
- State
- MA
- Zip
- 02241-6457
- Phone Number
- 844-362-1735
- Fax Number
- 973-290-7495
License Information
- License Number
- 25MP00584000
- 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 Sijo Devasia?
The NPI number of Sijo Devasia is 1366046492. It was assigned on November 30, 2020 and is currently active in the NPPES registry.
What is the specialty of Sijo Devasia?
Sijo Devasia is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00584000.
Where does Sijo Devasia practice?
The practice location is 385 Morris Ave Fl 2, Springfield, NJ 07081-1151. The office can be reached at 973-379-2111 (phone) or 973-379-2807 (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 1366046492 directly on the NPPES registry website.