Active NPIIndividual provider

Leanna Vastoler, PA-C

Physician Assistant in North Bergen, New Jersey

NPI Number1558838060
Practice location
7600 River RD, North Bergen, NJ 07047-6217
Fax
—
Last updated
November 7, 2018

Leanna Vastoler is a Physician Assistant based in North Bergen, NJ. Leanna Vastoler practices in North Bergen, NJ and has the professional credentials of PA-C. The NPI Number for Leanna Vastoler is 1558838060 and holds a License No. 022566 (NY). The current practice location address for Leanna Vastoler is 7600 River RD, North Bergen, NJ 07047-6217 and can be reached out via phone at 201-854-5000.

Provider Profile Details

NPI Number
1558838060
Provider Name
Leanna Vastoler
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
7600 River RD, North Bergen, NJ 07047-6217
Phone Number
201-854-5000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2018
Last Update Date
November 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
7600 River RD
North Bergen, NJ 07047-6217
Zip
07047-6217
Phone Number
201-854-5000
North Bergen, NJ 07047Get directions →

Provider Business Mailing Address Details

Address
12 Rene Dr
Marlboro, NJ 07746-1240
City
Marlboro
State
NJ
Zip
07746-1240
Phone Number
732-995-4290

License Information

License Number (1)
022566
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00484800
License State (2)
NJ
Taxonomy (2)
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 Leanna Vastoler, PA-C?

The NPI number of Leanna Vastoler, PA-C is 1558838060. It was assigned on November 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Leanna Vastoler, PA-C?

Leanna Vastoler, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 022566.

Where does Leanna Vastoler, PA-C practice?

The practice location is 7600 River RD, North Bergen, NJ 07047-6217. The office can be reached at 201-854-5000 (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 1558838060 directly on the NPPES registry website.

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