Active NPIIndividual providerSole proprietor

Mr. William Ippolito, PA-C

Physician Assistant, Medical in Wall Township, New Jersey

NPI Number1396723011
Practice location
1825 Rte 35, Wall Township, NJ 07719-3541
Fax
—
Last updated
February 1, 2022

William Ippolito is a Physician Assistant, Medical based in Wall Township, NJ. William Ippolito practices in Wall Township, NJ and has the professional credentials of PA-C. The NPI Number for William Ippolito is 1396723011 and holds a License No. 25MP00072000 (NJ). The current practice location address for William Ippolito is 1825 Rte 35, Wall Township, NJ 07719-3541 and can be reached out via phone at 732-280-2600.

Provider Profile Details

NPI Number
1396723011
Provider Name
William Ippolito
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1825 Rte 35, Wall Township, NJ 07719-3541
Phone Number
732-280-2600
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 3, 2006
Last Update Date
February 1, 2022
Certification Date
February 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1825 Rte 35
Wall Township, NJ 07719-3541
Zip
07719-3541
Phone Number
732-280-2600
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
10 Parsonage RD 102
Edison, NJ 08837-2429
City
Edison
State
NJ
Zip
08837-2429
Phone Number
732-662-4680
Fax Number
732-662-3354

License Information

License Number (1)
25MP00072000
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00072000
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Mr. William Ippolito, PA-C?

The NPI number of Mr. William Ippolito, PA-C is 1396723011. It was assigned on January 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. William Ippolito, PA-C?

Mr. William Ippolito, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00072000.

Where does Mr. William Ippolito, PA-C practice?

The practice location is 1825 Rte 35, Wall Township, NJ 07719-3541. The office can be reached at 732-280-2600 (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 1396723011 directly on the NPPES registry website.

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