Deonde R Degennaro, PA-C
Physician Assistant, Surgical in Manasquan, New Jersey
1437911526- Practice location
- 2315 Route 34, Manasquan, NJ 08736-1444
- Phone
- 732-974-0404
- Fax
- 732-449-4271
- Last updated
- December 9, 2024
Deonde R Degennaro is a Physician Assistant, Surgical based in Manasquan, NJ. Deonde R Degennaro practices in Manasquan, NJ and has the professional credentials of PA-C. The NPI Number for Deonde R Degennaro is 1437911526 and holds a License No. 25MP00834200 (NJ). The current practice location address for Deonde R Degennaro is 2315 Route 34, Manasquan, NJ 08736-1444 and can be reached out via phone at 732-974-0404 and via fax at 732-449-4271.
Provider Profile Details
- NPI Number
- 1437911526
- Provider Name
- Deonde R Degennaro
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2315 Route 34, Manasquan, NJ 08736-1444
- Phone Number
- 732-974-0404
- Fax Number
- 732-449-4271
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 25, 2024
- Last Update Date
- December 9, 2024
- Certification Date
- December 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2315 Route 34
Manasquan, NJ 08736-1444 - City
- Manasquan
- State
- New Jersey
- Zip
- 08736-1444
- Phone Number
- 732-974-0404
- Fax Number
- 732-449-4271
Provider Business Mailing Address Details
- Address
- 2315 Route 34
Manasquan, NJ 08736-1444 - City
- Manasquan
- State
- NJ
- Zip
- 08736-1444
- Phone Number
- 732-974-0404
- Fax Number
- 732-449-4271
License Information
- License Number (1)
- 25MP00834200
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00834200
- License State (2)
- NJ
- Taxonomy (2)
- 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 Manasquan, NJ
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Frequently Asked Questions
What is the NPI number of Deonde R Degennaro, PA-C?
The NPI number of Deonde R Degennaro, PA-C is 1437911526. It was assigned on January 25, 2024 and is currently active in the NPPES registry.
What is the specialty of Deonde R Degennaro, PA-C?
Deonde R Degennaro, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00834200.
Where does Deonde R Degennaro, PA-C practice?
The practice location is 2315 Route 34, Manasquan, NJ 08736-1444. The office can be reached at 732-974-0404 (phone) or 732-449-4271 (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 1437911526 directly on the NPPES registry website.