Active NPIIndividual provider

Martine P Caussimon, PA

Physician Assistant in Ridgewood, New Jersey

NPI Number1699924761
Practice location
85 S Maple Ave, Ridgewood, NJ 07450-4561
Fax
—
Last updated
November 30, 2022

Martine P Caussimon is a Physician Assistant based in Ridgewood, NJ. Martine P Caussimon practices in Ridgewood, NJ and has the professional credentials of PA. The NPI Number for Martine P Caussimon is 1699924761 and holds a License No. 25MP0020110 (NJ). The current practice location address for Martine P Caussimon is 85 S Maple Ave, Ridgewood, NJ 07450-4561 and can be reached out via phone at 201-445-2830.

Provider Profile Details

NPI Number
1699924761
Provider Name
Martine P Caussimon
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
85 S Maple Ave, Ridgewood, NJ 07450-4561
Phone Number
201-445-2830
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 15, 2008
Last Update Date
November 30, 2022
Certification Date
November 30, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 S Maple Ave
Ridgewood, NJ 07450-4561
Zip
07450-4561
Phone Number
201-445-2830
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
85 S Maple Ave
Ridgewood, NJ 07450-4561
City
Ridgewood
State
NJ
Zip
07450-4561
Phone Number
201-445-2830

License Information

License Number (1)
25MP0020110
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00201100
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Ridgewood, NJ

View all Physician Assistants in Ridgewood →

Frequently Asked Questions

What is the NPI number of Martine P Caussimon, PA?

The NPI number of Martine P Caussimon, PA is 1699924761. It was assigned on September 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Martine P Caussimon, PA?

Martine P Caussimon, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP0020110.

Where does Martine P Caussimon, PA practice?

The practice location is 85 S Maple Ave, Ridgewood, NJ 07450-4561. The office can be reached at 201-445-2830 (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 1699924761 directly on the NPPES registry website.

Browse related providers