Nicole R Depadova, PA-C
Physician Assistant in Brick, New Jersey
1568246247- Practice location
- 35 Beaverson Blvd Ste 9B, Brick, NJ 08723-7862
- Phone
- 817-300-1934
- Fax
- —
- Last updated
- August 29, 2023
Nicole Rose Depadova is a Physician Assistant based in Brick, NJ. Nicole Rose Depadova practices in Brick, NJ and has the professional credentials of PA-C. The NPI Number for Nicole Rose Depadova is 1568246247 and holds a License No. 35MP00804400 (NJ). The current practice location address for Nicole Rose Depadova is 35 Beaverson Blvd Ste 9B, Brick, NJ 08723-7862 and can be reached out via phone at 817-300-1934.
Provider Profile Details
- NPI Number
- 1568246247
- Provider Name
- Nicole Rose Depadova
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 35 Beaverson Blvd Ste 9B, Brick, NJ 08723-7862
- Phone Number
- 817-300-1934
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 23, 2023
- Last Update Date
- August 29, 2023
- Certification Date
- August 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 35 Beaverson Blvd Ste 9B
Brick, NJ 08723-7862 - City
- Brick
- State
- New Jersey
- Zip
- 08723-7862
- Phone Number
- 817-300-1934
Provider Business Mailing Address Details
- Address
- 404 5TH Ave Apt 306
Asbury Park, NJ 07712-5462 - City
- Asbury Park
- State
- NJ
- Zip
- 07712-5462
License Information
- License Number
- 35MP00804400
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Brick, NJ
View all Physician Assistants in Brick →- Alexandra N Arena, PA-CPhysician Assistant · NPI 1245780915
- Brenda Cabrera Vicens, PAPhysician Assistant · NPI 1073200549
- Christopher Whitehead, PAPhysician Assistant · NPI 1255861589
- Julia M Valkos, PA-CPhysician Assistant · NPI 1316627748
- Lara T Bakhtiarian, PA-CPhysician Assistant · NPI 1710893854
- Laura A Dweck, PAPhysician Assistant · NPI 1689277253
Frequently Asked Questions
What is the NPI number of Nicole R Depadova, PA-C?
The NPI number of Nicole R Depadova, PA-C is 1568246247. It was assigned on August 23, 2023 and is currently active in the NPPES registry.
What is the specialty of Nicole R Depadova, PA-C?
Nicole R Depadova, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 35MP00804400.
Where does Nicole R Depadova, PA-C practice?
The practice location is 35 Beaverson Blvd Ste 9B, Brick, NJ 08723-7862. The office can be reached at 817-300-1934 (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 1568246247 directly on the NPPES registry website.