Active NPIIndividual provider

Andrea R Medel, PA

Physician Assistant in Glen Ridge, New Jersey

NPI Number1508098765
Practice location
1 Bay St, Glen Ridge, NJ 07028-1505
Fax
—
Last updated
July 2, 2016

Andrea R. Medel is a Physician Assistant based in Glen Ridge, NJ. Andrea R. Medel practices in Glen Ridge, NJ and has the professional credentials of PA. The NPI Number for Andrea R. Medel is 1508098765 and holds a License No. 25MP00221300 (NJ). The current practice location address for Andrea R. Medel is 1 Bay St, Glen Ridge, NJ 07028-1505 and can be reached out via phone at 973-429-6200.

Provider Profile Details

NPI Number
1508098765
Provider Name
Andrea R. Medel
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Bay St, Glen Ridge, NJ 07028-1505
Phone Number
973-429-6200
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 20, 2009
Last Update Date
July 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay St
Glen Ridge, NJ 07028-1505
Zip
07028-1505
Phone Number
973-429-6200
Glen Ridge, NJ 07028Get directions →

Provider Business Mailing Address Details

Address
1 Bay St
Glen Ridge, NJ 07028-1505
City
Glen Ridge
State
NJ
Zip
07028-1505
Phone Number
973-429-6200

License Information

License Number
25MP00221300
License State
NJ
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 Andrea R Medel, PA?

The NPI number of Andrea R Medel, PA is 1508098765. It was assigned on August 20, 2009 and is currently active in the NPPES registry.

What is the specialty of Andrea R Medel, PA?

Andrea R Medel, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00221300.

Where does Andrea R Medel, PA practice?

The practice location is 1 Bay St, Glen Ridge, NJ 07028-1505. The office can be reached at 973-429-6200 (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 1508098765 directly on the NPPES registry website.

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