Active NPIIndividual provider

Jaclyn Diefenbacher Punt, PA-C

Physician Assistant, Surgical in Trenton, New Jersey

NPI Number1386203487
Practice location
750 Brunswick Ave, Trenton, NJ 08638-4143
Fax
—
Last updated
September 11, 2024

Jaclyn Diefenbacher Punt is a Physician Assistant, Surgical based in Trenton, NJ. Jaclyn Diefenbacher Punt practices in Trenton, NJ and has the professional credentials of PA-C. The NPI Number for Jaclyn Diefenbacher Punt is 1386203487 and holds a License No. 25MP00534500 (NJ). The current practice location address for Jaclyn Diefenbacher Punt is 750 Brunswick Ave, Trenton, NJ 08638-4143 and can be reached out via phone at 609-394-6000.

Provider Profile Details

NPI Number
1386203487
Provider Name
Jaclyn Diefenbacher Punt
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
750 Brunswick Ave, Trenton, NJ 08638-4143
Phone Number
609-394-6000
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2019
Last Update Date
September 11, 2024
Certification Date
September 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
750 Brunswick Ave
Trenton, NJ 08638-4143
Zip
08638-4143
Phone Number
609-394-6000
Trenton, NJ 08638Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD Ste 220
Red Bank, NJ 07701-5792
City
Red Bank
State
NJ
Zip
07701-5792

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00534500
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 Jaclyn Diefenbacher Punt, PA-C?

The NPI number of Jaclyn Diefenbacher Punt, PA-C is 1386203487. It was assigned on June 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Jaclyn Diefenbacher Punt, PA-C?

Jaclyn Diefenbacher Punt, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00534500.

Where does Jaclyn Diefenbacher Punt, PA-C practice?

The practice location is 750 Brunswick Ave, Trenton, NJ 08638-4143. The office can be reached at 609-394-6000 (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 1386203487 directly on the NPPES registry website.

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