Active NPIIndividual providerSole proprietor

Mr. Jithin S Easo

Physician Assistant in Bergenfield, New Jersey

NPI Number1427668110
Practice location
257 Bradley Ave, Bergenfield, NJ 07621-2226
Fax
—
Last updated
August 6, 2020

Jithin Sam Easo is a Physician Assistant based in Bergenfield, NJ. Jithin Sam Easo practices in Bergenfield, NJ. The NPI Number for Jithin Sam Easo is 1427668110. The current practice location address for Jithin Sam Easo is 257 Bradley Ave, Bergenfield, NJ 07621-2226 and can be reached out via phone at 201-244-5874.

Provider Profile Details

NPI Number
1427668110
Provider Name
Jithin Sam Easo
Provider Entity Type
Individual
Gender
Male
Address
257 Bradley Ave, Bergenfield, NJ 07621-2226
Phone Number
201-244-5874
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 6, 2020
Last Update Date
August 6, 2020
Certification Date
August 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
257 Bradley Ave
Bergenfield, NJ 07621-2226
Zip
07621-2226
Phone Number
201-244-5874
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
257 Bradley Ave
Bergenfield, NJ 07621-2226
City
Bergenfield
State
NJ
Zip
07621-2226
Phone Number
646-853-1177

License Information

Taxonomy
Physician Assistant · 363A00000X · 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. Jithin S Easo?

The NPI number of Mr. Jithin S Easo is 1427668110. It was assigned on August 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Jithin S Easo?

Mr. Jithin S Easo is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Mr. Jithin S Easo practice?

The practice location is 257 Bradley Ave, Bergenfield, NJ 07621-2226. The office can be reached at 201-244-5874 (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 1427668110 directly on the NPPES registry website.

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