Active NPIIndividual providerSole proprietor

Jared Fagans

Occupational Therapy Assistant in Manahawkin, New Jersey

NPI Number1376949792
Practice location
1361 Route 72 W, Manahawkin, NJ 08050-2417
Fax
—
Last updated
November 12, 2014

Jared Fagans is an Occupational Therapy Assistant based in Manahawkin, NJ. Jared Fagans practices in Manahawkin, NJ. The NPI Number for Jared Fagans is 1376949792. The current practice location address for Jared Fagans is 1361 Route 72 W, Manahawkin, NJ 08050-2417 and can be reached out via phone at 201-213-9133.

Provider Profile Details

NPI Number
1376949792
Provider Name
Jared Fagans
Provider Entity Type
Individual
Gender
Male
Address
1361 Route 72 W, Manahawkin, NJ 08050-2417
Phone Number
201-213-9133
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 12, 2014
Last Update Date
November 12, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1361 Route 72 W
Manahawkin, NJ 08050-2417
Zip
08050-2417
Phone Number
201-213-9133
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
1361 Route 72 W
Manahawkin, NJ 08050-2417
City
Manahawkin
State
NJ
Zip
08050-2417
Phone Number
201-213-9133

License Information

License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Jared Fagans?

The NPI number of Jared Fagans is 1376949792. It was assigned on November 12, 2014 and is currently active in the NPPES registry.

What is the specialty of Jared Fagans?

Jared Fagans is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X).

Where does Jared Fagans practice?

The practice location is 1361 Route 72 W, Manahawkin, NJ 08050-2417. The office can be reached at 201-213-9133 (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 1376949792 directly on the NPPES registry website.

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