Active NPIIndividual providerSole proprietor

Kelly J Suarez, PA-C

Physician Assistant, Surgical in Middletown, New Jersey

NPI Number1427376342
Practice location
480 Red Hill RD, Middletown, NJ 07748
Fax
212-717-3169
Last updated
August 23, 2018

Kelly Jennifer Suarez is a Physician Assistant, Surgical based in Middletown, NJ. Kelly Jennifer Suarez practices in Middletown, NJ and has the professional credentials of PA-C. The NPI Number for Kelly Jennifer Suarez is 1427376342 and holds a License No. PA9105022 (FL). The current practice location address for Kelly Jennifer Suarez is 480 Red Hill RD, Middletown, NJ 07748 and can be reached out via phone at 848-225-6331 and via fax at 212-717-3169.

Provider Profile Details

NPI Number
1427376342
Provider Name
Kelly Jennifer Suarez
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
480 Red Hill RD, Middletown, NJ 07748
Phone Number
848-225-6331
Fax Number
212-717-3169
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
May 17, 2010
Last Update Date
August 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
480 Red Hill RD
Middletown, NJ 07748
Zip
07748
Phone Number
848-225-6331
Fax Number
212-717-3169
Middletown, NJ 07748Get directions →

Provider Business Mailing Address Details

Address
231 Godwin Ave Unit 1
Ridgewood, NJ 07450-3709
City
Ridgewood
State
NJ
Zip
07450-3709
Phone Number
786-296-2309

License Information

License Number (1)
PA9105022
License State (1)
FL
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00465900
License State (2)
NJ
Taxonomy (2)
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 Kelly J Suarez, PA-C?

The NPI number of Kelly J Suarez, PA-C is 1427376342. It was assigned on May 17, 2010 and is currently active in the NPPES registry.

What is the specialty of Kelly J Suarez, PA-C?

Kelly J Suarez, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in FL under license number PA9105022.

Where does Kelly J Suarez, PA-C practice?

The practice location is 480 Red Hill RD, Middletown, NJ 07748. The office can be reached at 848-225-6331 (phone) or 212-717-3169 (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 1427376342 directly on the NPPES registry website.

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