Mrs. Tara A Nicoletta-Gajano, PA
Physician Assistant, Surgical in Brick, New Jersey
1427222710- Practice location
- 1610 Route 88 Ste 203, Brick, NJ 08724-3018
- Phone
- 732-840-3339
- 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
- State
- New Jersey
- Zip
- 08724-3018
- Phone Number
- 732-840-3339
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Brick, NJ
View all Physician Assistant, Surgical providers in Brick →- Brianna C Dehl, PA-CPhysician Assistant, Surgical · NPI 1902398753
- Heather E Good, PA-CPhysician Assistant, Surgical · NPI 1275006579
- James E Lynch LLCPhysician Assistant, Surgical · NPI 1689813701
- Jennifer J Kesil, PA-CPhysician Assistant, Surgical · NPI 1386618718
- Jill K MartinezPhysician Assistant, Surgical · NPI 1417333410
- Kathleen A Fumando, PA-CPhysician Assistant, Surgical · NPI 1285899534
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.