Active NPIIndividual provider

Andres Vega, PA-C

Physician Assistant in Passaic, New Jersey

NPI Number1700292851
Practice location
916-922 Main Ave, Passaic, NJ 07055
Fax
973-773-0336
Last updated
September 3, 2021

Andres Vega is a Physician Assistant based in Passaic, NJ. Andres Vega practices in Passaic, NJ and has the professional credentials of PA-C. The NPI Number for Andres Vega is 1700292851 and holds a License No. 25mp00336400 (NJ). The current practice location address for Andres Vega is 916-922 Main Ave, Passaic, NJ 07055 and can be reached out via phone at 973-773-0334 and via fax at 973-773-0336.

Provider Profile Details

NPI Number
1700292851
Provider Name
Andres Vega
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
916-922 Main Ave, Passaic, NJ 07055
Phone Number
973-773-0334
Fax Number
973-773-0336
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 9, 2014
Last Update Date
September 3, 2021
Certification Date
September 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
916-922 Main Ave
Passaic, NJ 07055
Zip
07055
Phone Number
973-773-0334
Fax Number
973-773-0336
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
916-922 Main Ave Ste 1A
Passaic, NJ 07055-8544
City
Passaic
State
NJ
Zip
07055-8544
Phone Number
973-773-0334
Fax Number
973-773-0336

License Information

License Number (1)
25mp00336400
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MP00336400
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.

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Frequently Asked Questions

What is the NPI number of Andres Vega, PA-C?

The NPI number of Andres Vega, PA-C is 1700292851. It was assigned on July 9, 2014 and is currently active in the NPPES registry.

What is the specialty of Andres Vega, PA-C?

Andres Vega, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25mp00336400.

Where does Andres Vega, PA-C practice?

The practice location is 916-922 Main Ave, Passaic, NJ 07055. The office can be reached at 973-773-0334 (phone) or 973-773-0336 (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 1700292851 directly on the NPPES registry website.

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