Active NPIIndividual provider

Kristy Jurczak, PA-C

Physician Assistant in Weymouth, Massachusetts

NPI Number1669906012
Practice location
55 Fogg RD, Weymouth, MA 02190
Fax
—
Last updated
September 14, 2018

Kristy Jurczak is a Physician Assistant based in Weymouth, MA. Kristy Jurczak practices in Weymouth, MA and has the professional credentials of PA-C. The NPI Number for Kristy Jurczak is 1669906012 and holds a License No. 0110005735 (VA). The current practice location address for Kristy Jurczak is 55 Fogg RD, Weymouth, MA 02190 and can be reached out via phone at 781-624-8000.

Provider Profile Details

NPI Number
1669906012
Provider Name
Kristy Jurczak
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
55 Fogg RD, Weymouth, MA 02190
Phone Number
781-624-8000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2017
Last Update Date
September 14, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
Weymouth, MA 02190
Zip
02190
Phone Number
781-624-8000
Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
141 Longwater Dr Ste 201
Norwell, MA 02061-1620
City
Norwell
State
MA
Zip
02061-1620
Phone Number
781-792-4136

License Information

License Number (1)
0110005735
License State (1)
VA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA6589
License State (2)
MA
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 Kristy Jurczak, PA-C?

The NPI number of Kristy Jurczak, PA-C is 1669906012. It was assigned on April 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Kristy Jurczak, PA-C?

Kristy Jurczak, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VA under license number 0110005735.

Where does Kristy Jurczak, PA-C practice?

The practice location is 55 Fogg RD, Weymouth, MA 02190. The office can be reached at 781-624-8000 (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 1669906012 directly on the NPPES registry website.

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