Active NPIIndividual providerSole proprietor

Mrs. Tara A Nicoletta-Gajano, PA

Physician Assistant, Surgical in Brick, New Jersey

NPI Number1427222710
Practice location
1610 Route 88 Ste 203, Brick, NJ 08724-3018
Fax
—
Last updated
March 6, 2024

Tara Aniela Nicoletta-Gajano is a Physician Assistant, Surgical based in Brick, NJ. Tara Aniela Nicoletta-Gajano practices in Brick, NJ and has the professional credentials of PA. The NPI Number for Tara Aniela Nicoletta-Gajano is 1427222710 and holds a License No. 25MP000542 (NJ). The current practice location address for Tara Aniela Nicoletta-Gajano is 1610 Route 88 Ste 203, Brick, NJ 08724-3018 and can be reached out via phone at 732-840-3339.

Provider Profile Details

NPI Number
1427222710
Provider Name
Tara Aniela Nicoletta-Gajano
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1610 Route 88 Ste 203, Brick, NJ 08724-3018
Phone Number
732-840-3339
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Other Names
Miss Tara Aniela Nicoletta, PA (Former Name)
Provider Enumeration Date
April 17, 2008
Last Update Date
March 6, 2024
Certification Date
March 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1610 Route 88 Ste 203
Brick, NJ 08724-3018
City
Brick
Zip
08724-3018
Phone Number
732-840-3339
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
3600 Route 66 Fl 3
Neptune, NJ 07753-2645
City
Neptune
State
NJ
Zip
07753-2645

License Information

License Number
25MP000542
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 Mrs. Tara A Nicoletta-Gajano, PA?

The NPI number of Mrs. Tara A Nicoletta-Gajano, PA is 1427222710. It was assigned on April 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tara A Nicoletta-Gajano, PA?

Mrs. Tara A Nicoletta-Gajano, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP000542.

Where does Mrs. Tara A Nicoletta-Gajano, PA practice?

The practice location is 1610 Route 88 Ste 203, Brick, NJ 08724-3018. The office can be reached at 732-840-3339 (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 1427222710 directly on the NPPES registry website.

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