Active NPIIndividual provider

Heather Bryan

Physician Assistant, Surgical in Cliffside Park, New Jersey

NPI Number1376964288
Practice location
663 Palisade Ave, Cliffside Park, NJ 07010-3012
Fax
201-943-7308
Last updated
December 18, 2013

Heather Bryan is a Physician Assistant, Surgical based in Cliffside Park, NJ. Heather Bryan practices in Cliffside Park, NJ. The NPI Number for Heather Bryan is 1376964288 and holds a License No. 25mp00320300 (NJ). The current practice location address for Heather Bryan is 663 Palisade Ave, Cliffside Park, NJ 07010-3012 and can be reached out via phone at 201-943-9100 and via fax at 201-943-7308.

Provider Profile Details

NPI Number
1376964288
Provider Name
Heather Bryan
Provider Entity Type
Individual
Gender
Female
Address
663 Palisade Ave, Cliffside Park, NJ 07010-3012
Phone Number
201-943-9100
Fax Number
201-943-7308
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2013
Last Update Date
December 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
663 Palisade Ave
Cliffside Park, NJ 07010-3012
Zip
07010-3012
Phone Number
201-943-9100
Fax Number
201-943-7308
Cliffside Park, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
111 Galway Pl
Teaneck, NJ 07666-3640
City
Teaneck
State
NJ
Zip
07666-3640
Phone Number
201-833-9500
Fax Number
201-862-0095

License Information

License Number
25mp00320300
License State
NJ
Taxonomy
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 Heather Bryan?

The NPI number of Heather Bryan is 1376964288. It was assigned on December 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Heather Bryan?

Heather Bryan is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25mp00320300.

Where does Heather Bryan practice?

The practice location is 663 Palisade Ave, Cliffside Park, NJ 07010-3012. The office can be reached at 201-943-9100 (phone) or 201-943-7308 (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 1376964288 directly on the NPPES registry website.

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