Active NPIIndividual provider

Sandra M Boyle, PA

Physician Assistant in Bloomfield, New Jersey

NPI Number1518604636
Practice location
382 W Passaic Ave, Bloomfield, NJ 07003-5554
Fax
—
Last updated
May 24, 2022

Sandra Marcela Boyle is a Physician Assistant based in Bloomfield, NJ. Sandra Marcela Boyle practices in Bloomfield, NJ and has the professional credentials of PA. The NPI Number for Sandra Marcela Boyle is 1518604636 and holds a License No. 25MP00700300 (NJ). The current practice location address for Sandra Marcela Boyle is 382 W Passaic Ave, Bloomfield, NJ 07003-5554 and can be reached out via phone at 973-338-1900.

Provider Profile Details

NPI Number
1518604636
Provider Name
Sandra Marcela Boyle
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
382 W Passaic Ave, Bloomfield, NJ 07003-5554
Phone Number
973-338-1900
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2022
Last Update Date
May 24, 2022
Certification Date
May 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
382 W Passaic Ave
Bloomfield, NJ 07003-5554
Zip
07003-5554
Phone Number
973-338-1900
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
382 W Passaic Ave
Bloomfield, NJ 07003-5554
City
Bloomfield
State
NJ
Zip
07003-5554
Phone Number
973-338-1900

License Information

License Number
25MP00700300
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 Sandra M Boyle, PA?

The NPI number of Sandra M Boyle, PA is 1518604636. It was assigned on May 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Sandra M Boyle, PA?

Sandra M Boyle, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00700300.

Where does Sandra M Boyle, PA practice?

The practice location is 382 W Passaic Ave, Bloomfield, NJ 07003-5554. The office can be reached at 973-338-1900 (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 1518604636 directly on the NPPES registry website.

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