Timothy S Cavanaugh, PAC
Physician Assistant in Mt Laurel, New Jersey
1558432922- Practice location
- 1288 Route 73 South, Suite 100, Mt Laurel, NJ 08054
- Phone
- 856-273-8900
- Fax
- 856-802-9772
- Last updated
- December 8, 2025
Timothy S Cavanaugh is a Physician Assistant based in Mt Laurel, NJ. Timothy S Cavanaugh practices in Mt Laurel, NJ and has the professional credentials of PAC. The NPI Number for Timothy S Cavanaugh is 1558432922 and holds a License No. 25MP00098900 (NJ). The current practice location address for Timothy S Cavanaugh is 1288 Route 73 South, Suite 100, Mt Laurel, NJ 08054 and can be reached out via phone at 856-273-8900 and via fax at 856-802-9772.
Provider Profile Details
- NPI Number
- 1558432922
- Provider Name
- Timothy S Cavanaugh
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1288 Route 73 South, Suite 100, Mt Laurel, NJ 08054
- Phone Number
- 856-273-8900
- Fax Number
- 856-802-9772
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- T Shawn Cavanaugh, PAC (Other Name)
- Provider Enumeration Date
- November 10, 2006
- Last Update Date
- December 8, 2025
- Certification Date
- December 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1288 Route 73 South
Suite 100
Mt Laurel, NJ 08054 - City
- Mt Laurel
- State
- New Jersey
- Zip
- 08054
- Phone Number
- 856-273-8900
- Fax Number
- 856-802-9772
Provider Business Mailing Address Details
- Address
- Po Box 34990
Belfast, ME 04915-0627 - City
- Belfast
- State
- ME
- Zip
- 04915-0627
- Phone Number
- 610-359-5672
- Fax Number
- 833-941-3871
License Information
- License Number (1)
- 25MP00098900
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- MA050758
- License State (2)
- PA
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Mt Laurel, NJ
View all Physician Assistants in Mt Laurel →Frequently Asked Questions
What is the NPI number of Timothy S Cavanaugh, PAC?
The NPI number of Timothy S Cavanaugh, PAC is 1558432922. It was assigned on November 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Timothy S Cavanaugh, PAC?
Timothy S Cavanaugh, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00098900.
Where does Timothy S Cavanaugh, PAC practice?
The practice location is 1288 Route 73 South, Suite 100, Mt Laurel, NJ 08054. The office can be reached at 856-273-8900 (phone) or 856-802-9772 (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 1558432922 directly on the NPPES registry website.