Kayla M Mcgovern, PA-C
Physician Assistant in Ridgewood, New Jersey
1619691920- Practice location
- 106 Prospect St, Ridgewood, NJ 07450-4433
- Phone
- 201-639-2656
- Fax
- 201-345-4405
- Last updated
- September 30, 2022
Kayla Michelle Mcgovern is a Physician Assistant based in Ridgewood, NJ. Kayla Michelle Mcgovern practices in Ridgewood, NJ and has the professional credentials of PA-C. The NPI Number for Kayla Michelle Mcgovern is 1619691920 and holds a License No. 25MP00738900 (NJ). The current practice location address for Kayla Michelle Mcgovern is 106 Prospect St, Ridgewood, NJ 07450-4433 and can be reached out via phone at 201-639-2656 and via fax at 201-345-4405.
Provider Profile Details
- NPI Number
- 1619691920
- Provider Name
- Kayla Michelle Mcgovern
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 106 Prospect St, Ridgewood, NJ 07450-4433
- Phone Number
- 201-639-2656
- Fax Number
- 201-345-4405
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 29, 2022
- Last Update Date
- September 30, 2022
- Certification Date
- September 30, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 106 Prospect St
Ridgewood, NJ 07450-4433 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-4433
- Phone Number
- 201-639-2656
- Fax Number
- 201-345-4405
Provider Business Mailing Address Details
- Address
- 510 Demarest Ave
Oradell, NJ 07649-1703 - City
- Oradell
- State
- NJ
- Zip
- 07649-1703
- Phone Number
- 201-835-9083
License Information
- License Number
- 25MP00738900
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Kayla M Mcgovern, PA-C?
The NPI number of Kayla M Mcgovern, PA-C is 1619691920. It was assigned on September 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Kayla M Mcgovern, PA-C?
Kayla M Mcgovern, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00738900.
Where does Kayla M Mcgovern, PA-C practice?
The practice location is 106 Prospect St, Ridgewood, NJ 07450-4433. The office can be reached at 201-639-2656 (phone) or 201-345-4405 (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 1619691920 directly on the NPPES registry website.