Active NPIIndividual provider

Long K Bui-Le, PA-C

Physician Assistant, Surgical in Fair Lawn, New Jersey

NPI Number1508077124
Practice location
28-04 Broadway, Fair Lawn, NJ 07410-3913
Fax
201-791-9377
Last updated
June 13, 2012

Long Kim Bui-Le is a Physician Assistant, Surgical based in Fair Lawn, NJ. Long Kim Bui-Le practices in Fair Lawn, NJ and has the professional credentials of PA-C. The NPI Number for Long Kim Bui-Le is 1508077124 and holds a License No. 25MP00041400 (NJ). The current practice location address for Long Kim Bui-Le is 28-04 Broadway, Fair Lawn, NJ 07410-3913 and can be reached out via phone at 201-791-4434 and via fax at 201-791-9377.

Provider Profile Details

NPI Number
1508077124
Provider Name
Long Kim Bui-Le
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
28-04 Broadway, Fair Lawn, NJ 07410-3913
Phone Number
201-791-4434
Fax Number
201-791-9377
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
May 25, 2007
Last Update Date
June 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
28-04 Broadway
Fair Lawn, NJ 07410-3913
Zip
07410-3913
Phone Number
201-791-4434
Fax Number
201-791-9377
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
43 Turner St
Dover, NJ 07801-1728
City
Dover
State
NJ
Zip
07801-1728
Phone Number
973-366-6645

License Information

License Number
25MP00041400
License State
NJ
Taxonomy
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 Long K Bui-Le, PA-C?

The NPI number of Long K Bui-Le, PA-C is 1508077124. It was assigned on May 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Long K Bui-Le, PA-C?

Long K Bui-Le, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00041400.

Where does Long K Bui-Le, PA-C practice?

The practice location is 28-04 Broadway, Fair Lawn, NJ 07410-3913. The office can be reached at 201-791-4434 (phone) or 201-791-9377 (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 1508077124 directly on the NPPES registry website.

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