Active NPIIndividual providerSole proprietor

Ian J Mitchell

Physician Assistant in Egg Harbor Township, New Jersey

NPI Number1568034619
Practice location
2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598
Fax
609-677-7000
Last updated
November 12, 2021

Ian Joseph Mitchell is a Physician Assistant based in Egg Harbor Township, NJ. Ian Joseph Mitchell practices in Egg Harbor Township, NJ. The NPI Number for Ian Joseph Mitchell is 1568034619 and holds a License No. 25MP00663000 (NJ). The current practice location address for Ian Joseph Mitchell is 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598 and can be reached out via phone at 609-677-6060 and via fax at 609-677-7000.

Provider Profile Details

NPI Number
1568034619
Provider Name
Ian Joseph Mitchell
Provider Entity Type
Individual
Gender
Male
Address
2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598
Phone Number
609-677-6060
Fax Number
609-677-7000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 16, 2021
Last Update Date
November 12, 2021
Certification Date
November 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 English Creek Ave Ste 1300
Egg Harbor Township, NJ 08234-5598
Zip
08234-5598
Phone Number
609-677-6060
Fax Number
609-677-7000
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
City
Philadelphia
State
PA
Zip
19107-4430
Phone Number
267-606-4478
Fax Number
267-339-3761

License Information

Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
25MP00663000
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 Ian J Mitchell?

The NPI number of Ian J Mitchell is 1568034619. It was assigned on July 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Ian J Mitchell?

Ian J Mitchell is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00663000.

Where does Ian J Mitchell practice?

The practice location is 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598. The office can be reached at 609-677-6060 (phone) or 609-677-7000 (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 1568034619 directly on the NPPES registry website.

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