Active NPIIndividual provider

Jaclyn M Augustensen, PA

Physician Assistant, Medical in Eatontown, New Jersey

NPI Number1699928234
Practice location
615 Hope RD, Building 5A, Eatontown, NJ 07724-1277
Fax
—
Last updated
May 9, 2013

Jaclyn Michelle Augustensen is a Physician Assistant, Medical based in Eatontown, NJ. Jaclyn Michelle Augustensen practices in Eatontown, NJ and has the professional credentials of PA. The NPI Number for Jaclyn Michelle Augustensen is 1699928234 and holds a License No. 25MP00211300 (NJ). The current practice location address for Jaclyn Michelle Augustensen is 615 Hope RD, Building 5A, Eatontown, NJ 07724-1277 and can be reached out via phone at 732-571-1000.

Provider Profile Details

NPI Number
1699928234
Provider Name
Jaclyn Michelle Augustensen
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
615 Hope RD, Building 5A, Eatontown, NJ 07724-1277
Phone Number
732-571-1000
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
October 28, 2008
Last Update Date
May 9, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
615 Hope RD
Building 5A
Eatontown, NJ 07724-1277
Zip
07724-1277
Phone Number
732-571-1000
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
615 Hope RD
Building 5A
Eatontown, NJ 07724-1277
City
Eatontown
State
NJ
Zip
07724-1277
Phone Number
732-571-1000

License Information

License Number
25MP00211300
License State
NJ
Taxonomy
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 Jaclyn M Augustensen, PA?

The NPI number of Jaclyn M Augustensen, PA is 1699928234. It was assigned on October 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Jaclyn M Augustensen, PA?

Jaclyn M Augustensen, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00211300.

Where does Jaclyn M Augustensen, PA practice?

The practice location is 615 Hope RD, Building 5A, Eatontown, NJ 07724-1277. The office can be reached at 732-571-1000 (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 1699928234 directly on the NPPES registry website.

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