Active NPIIndividual providerSole proprietor

Mr. Dewang H Rawal, PA - C

Physician Assistant in Lake Hiawatha, New Jersey

NPI Number1639256068
Practice location
15 Hoffman Ave, Lake Hiawatha, NJ 07034-2320
Fax
—
Last updated
November 18, 2011

Dewang H Rawal is a Physician Assistant based in Lake Hiawatha, NJ. Dewang H Rawal practices in Lake Hiawatha, NJ and has the professional credentials of PA - C. The NPI Number for Dewang H Rawal is 1639256068 and holds a License No. 25MP00235200 (NJ). The current practice location address for Dewang H Rawal is 15 Hoffman Ave, Lake Hiawatha, NJ 07034-2320 and can be reached out via phone at 917-864-8957.

Provider Profile Details

NPI Number
1639256068
Provider Name
Dewang H Rawal
Credential
PA - C
Provider Entity Type
Individual
Gender
Male
Address
15 Hoffman Ave, Lake Hiawatha, NJ 07034-2320
Phone Number
917-864-8957
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 1, 2006
Last Update Date
November 18, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Hoffman Ave
Lake Hiawatha, NJ 07034-2320
Zip
07034-2320
Phone Number
917-864-8957
Lake Hiawatha, NJ 07034Get directions →

Provider Business Mailing Address Details

Address
15 Hoffman Ave
Lake Hiawatha, NJ 07034-2320
City
Lake Hiawatha
State
NJ
Zip
07034-2320
Phone Number
917-864-8957

License Information

License Number (1)
25MP00235200
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
013793-1
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X

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 Mr. Dewang H Rawal, PA - C?

The NPI number of Mr. Dewang H Rawal, PA - C is 1639256068. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Dewang H Rawal, PA - C?

Mr. Dewang H Rawal, PA - C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00235200.

Where does Mr. Dewang H Rawal, PA - C practice?

The practice location is 15 Hoffman Ave, Lake Hiawatha, NJ 07034-2320. The office can be reached at 917-864-8957 (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 1639256068 directly on the NPPES registry website.

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