Active NPIIndividual provider

Mr. Adam Avitabile, PA-C

Physician Assistant, Medical in Berkeley Heights, New Jersey

NPI Number1649426479
Practice location
1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104
Fax
908-277-8796
Last updated
September 24, 2026

Adam Avitabile is a Physician Assistant, Medical based in Berkeley Heights, NJ. Adam Avitabile practices in Berkeley Heights, NJ and has the professional credentials of PA-C. The NPI Number for Adam Avitabile is 1649426479 and holds a License No. 020107 (NY). The current practice location address for Adam Avitabile is 1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104 and can be reached out via phone at 908-277-8880 and via fax at 908-277-8796.

Provider Profile Details

NPI Number
1649426479
Provider Name
Adam Avitabile
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104
Phone Number
908-277-8880
Fax Number
908-277-8796
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2008
Last Update Date
September 24, 2026
Certification Date
September 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
Zip
07922-2104
Phone Number
908-277-8880
Fax Number
908-277-8796
Berkeley Heights, NJ 07922Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104
Phone Number
908-273-4300

License Information

License Number (1)
020107
License State (1)
NY
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
25MP00203500
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Mr. Adam Avitabile, PA-C?

The NPI number of Mr. Adam Avitabile, PA-C is 1649426479. It was assigned on August 12, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Adam Avitabile, PA-C?

Mr. Adam Avitabile, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 020107.

Where does Mr. Adam Avitabile, PA-C practice?

The practice location is 1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104. The office can be reached at 908-277-8880 (phone) or 908-277-8796 (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 1649426479 directly on the NPPES registry website.

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