Active NPIIndividual provider

Mr. Scott Hanwacker, PA

Physician Assistant, Surgical in Freehold, New Jersey

NPI Number1457531121
Practice location
301 Professional View Dr, Freehold, NJ 07728-7904
Fax
732-720-2556
Last updated
February 28, 2011

Scott Hanwacker is a Physician Assistant, Surgical based in Freehold, NJ. Scott Hanwacker practices in Freehold, NJ and has the professional credentials of PA. The NPI Number for Scott Hanwacker is 1457531121 and holds a License No. 009211 (NY). The current practice location address for Scott Hanwacker is 301 Professional View Dr, Freehold, NJ 07728-7904 and can be reached out via phone at 732-720-2555 and via fax at 732-720-2556.

Provider Profile Details

NPI Number
1457531121
Provider Name
Scott Hanwacker
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
301 Professional View Dr, Freehold, NJ 07728-7904
Phone Number
732-720-2555
Fax Number
732-720-2556
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2007
Last Update Date
February 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Professional View Dr
Freehold, NJ 07728-7904
Zip
07728-7904
Phone Number
732-720-2555
Fax Number
732-720-2556
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
301 Professional View Dr
Freehold, NJ 07728-7904
City
Freehold
State
NJ
Zip
07728-7904
Phone Number
732-720-2555
Fax Number
732-720-2556

License Information

License Number (1)
009211
License State (1)
NY
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X · Primary
License Number (2)
009211-1
License State (2)
NY
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X

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. Scott Hanwacker, PA?

The NPI number of Mr. Scott Hanwacker, PA is 1457531121. It was assigned on November 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Scott Hanwacker, PA?

Mr. Scott Hanwacker, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 009211.

Where does Mr. Scott Hanwacker, PA practice?

The practice location is 301 Professional View Dr, Freehold, NJ 07728-7904. The office can be reached at 732-720-2555 (phone) or 732-720-2556 (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 1457531121 directly on the NPPES registry website.

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