Michael R Eberhardt, MS, PA-C, LAT, ATC
Physician Assistant, Surgical in Brick, New Jersey
1518394519- Practice location
- 457 Jack Martin Blvd, Brick, NJ 08724-7776
- Phone
- 732-840-7500
- Fax
- —
- Last updated
- December 9, 2024
Michael Ralph Eberhardt is a Physician Assistant, Surgical based in Brick, NJ. Michael Ralph Eberhardt practices in Brick, NJ and has the professional credentials of MS, PA-C, LAT, ATC. The NPI Number for Michael Ralph Eberhardt is 1518394519 and holds a License No. 25MP00660700 (NJ). The current practice location address for Michael Ralph Eberhardt is 457 Jack Martin Blvd, Brick, NJ 08724-7776 and can be reached out via phone at 732-840-7500.
Provider Profile Details
- NPI Number
- 1518394519
- Provider Name
- Michael Ralph Eberhardt
- Credential
- MS, PA-C, LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 457 Jack Martin Blvd, Brick, NJ 08724-7776
- Phone Number
- 732-840-7500
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2013
- Last Update Date
- December 9, 2024
- Certification Date
- December 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 457 Jack Martin Blvd
Brick, NJ 08724-7776 - City
- Brick
- State
- New Jersey
- Zip
- 08724-7776
- Phone Number
- 732-840-7500
Provider Business Mailing Address Details
- Address
- 457 Jack Martin Blvd
Brick, NJ 08724-7776 - City
- Brick
- State
- NJ
- Zip
- 08724-7776
- Phone Number
- 732-840-7500
- Fax Number
- 732-840-7500
License Information
- License Number (1)
- 25MP00660700
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00660700
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Michael R Eberhardt, MS, PA-C, LAT, ATC?
The NPI number of Michael R Eberhardt, MS, PA-C, LAT, ATC is 1518394519. It was assigned on October 4, 2013 and is currently active in the NPPES registry.
What is the specialty of Michael R Eberhardt, MS, PA-C, LAT, ATC?
Michael R Eberhardt, MS, PA-C, LAT, ATC is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00660700.
Where does Michael R Eberhardt, MS, PA-C, LAT, ATC practice?
The practice location is 457 Jack Martin Blvd, Brick, NJ 08724-7776. The office can be reached at 732-840-7500 (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 1518394519 directly on the NPPES registry website.