Nyeesha Garnett, PA-C
Physician Assistant, Medical in Newark, New Jersey
1386421592- Practice location
- 617 Broad St, Newark, NJ 07102-4403
- Phone
- 862-246-7940
- Fax
- 862-246-7941
- Last updated
- December 16, 2024
Nyeesha Garnett is a Physician Assistant, Medical based in Newark, NJ. Nyeesha Garnett practices in Newark, NJ and has the professional credentials of PA-C. The NPI Number for Nyeesha Garnett is 1386421592 and holds a License No. 25MP00812000 (NJ). The current practice location address for Nyeesha Garnett is 617 Broad St, Newark, NJ 07102-4403 and can be reached out via phone at 862-246-7940 and via fax at 862-246-7941.
Provider Profile Details
- NPI Number
- 1386421592
- Provider Name
- Nyeesha Garnett
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 617 Broad St, Newark, NJ 07102-4403
- Phone Number
- 862-246-7940
- Fax Number
- 862-246-7941
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 11, 2023
- Last Update Date
- December 16, 2024
- Certification Date
- December 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 617 Broad St
Newark, NJ 07102-4403 - City
- Newark
- State
- New Jersey
- Zip
- 07102-4403
- Phone Number
- 862-246-7940
- Fax Number
- 862-246-7941
Provider Business Mailing Address Details
- Address
- 1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104 - City
- Berkeley Heights
- State
- NJ
- Zip
- 07922-2104
- Phone Number
- 908-273-4300
License Information
- License Number (1)
- 25MP00812000
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- Taxonomy (2)
- Physician Assistant · 363A00000X
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 Nyeesha Garnett, PA-C?
The NPI number of Nyeesha Garnett, PA-C is 1386421592. It was assigned on September 11, 2023 and is currently active in the NPPES registry.
What is the specialty of Nyeesha Garnett, PA-C?
Nyeesha Garnett, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00812000.
Where does Nyeesha Garnett, PA-C practice?
The practice location is 617 Broad St, Newark, NJ 07102-4403. The office can be reached at 862-246-7940 (phone) or 862-246-7941 (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 1386421592 directly on the NPPES registry website.