Bare Mountain Medicine PC
Physician Assistant in Ewing, New Jersey
1417852278- Practice location
- 820 Bear Tavern RD, Ewing, NJ 08628-1021
- Phone
- 786-556-2111
- Fax
- —
- Last updated
- October 12, 2026
Bare Mountain Medicine PC is a healthcare organization based in Ewing, NJ. Bare Mountain Medicine PC practices in Ewing, NJ. The NPI Number for Bare Mountain Medicine PC is 1417852278. The current practice location address for Bare Mountain Medicine PC is 820 Bear Tavern RD, Ewing, NJ 08628-1021 and can be reached out via phone at 786-556-2111.
Provider Profile Details
- NPI Number
- 1417852278
- Provider Name
- Bare Mountain Medicine PC
- Provider Entity Type
- Organization
- Address
- 820 Bear Tavern RD, Ewing, NJ 08628-1021
- Phone Number
- 786-556-2111
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Organization Subpart
- No
- Authorized Official
- Yakov Gologorsky, MD · Incorporator · 973-707-3048
- Provider Enumeration Date
- October 12, 2026
- Last Update Date
- October 12, 2026
- Certification Date
- October 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 820 Bear Tavern RD
Ewing, NJ 08628-1021 - City
- Ewing
- State
- New Jersey
- Zip
- 08628-1021
- Phone Number
- 786-556-2111
Provider Business Mailing Address Details
- Address
- 820 Bear Tavern RD
Ewing, NJ 08628-1021 - City
- Ewing
- State
- NJ
- Zip
- 08628-1021
License Information
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Ewing, NJ
View all Physician Assistants in Ewing →- Alicia C Clymer, PA-CPhysician Assistant · NPI 1710552484
- Anita L Crossland, PA-CPhysician Assistant · NPI 1316282668
- Dr. Donald A Huntington Jr., DMSCPhysician Assistant · NPI 1184855926
- Hilda A Tucubal, PAPhysician Assistant · NPI 1124327002
- Logan Barnes, PA-CPhysician Assistant · NPI 1164046942
- Rabiatu BraimahPhysician Assistant · NPI 1063367316
Frequently Asked Questions
What is the NPI number of Bare Mountain Medicine PC?
The NPI number of Bare Mountain Medicine PC is 1417852278. It was assigned on October 12, 2026 and is currently active in the NPPES registry.
What is the specialty of Bare Mountain Medicine PC?
Bare Mountain Medicine PC is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Bare Mountain Medicine PC practice?
The practice location is 820 Bear Tavern RD, Ewing, NJ 08628-1021. The office can be reached at 786-556-2111 (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 1417852278 directly on the NPPES registry website.