Lara T Bakhtiarian, PA-C
Physician Assistant in Brick, New Jersey
1710893854- Practice location
- 101 Prosper Way Unit 4, Brick, NJ 08723-3539
- Phone
- 877-425-7756
- Fax
- —
- Last updated
- August 19, 2026
Lara T Bakhtiarian is a Physician Assistant based in Brick, NJ. Lara T Bakhtiarian practices in Brick, NJ and has the professional credentials of PA-C. The NPI Number for Lara T Bakhtiarian is 1710893854 and holds a License No. 25MP01034100 (NJ). The current practice location address for Lara T Bakhtiarian is 101 Prosper Way Unit 4, Brick, NJ 08723-3539 and can be reached out via phone at 877-425-7756.
Provider Profile Details
- NPI Number
- 1710893854
- Provider Name
- Lara T Bakhtiarian
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 101 Prosper Way Unit 4, Brick, NJ 08723-3539
- Phone Number
- 877-425-7756
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 19, 2026
- Last Update Date
- August 19, 2026
- Certification Date
- August 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Prosper Way Unit 4
Brick, NJ 08723-3539 - City
- Brick
- State
- New Jersey
- Zip
- 08723-3539
- Phone Number
- 877-425-7756
Provider Business Mailing Address Details
- Address
- 6 Edison Ave
Tinton Falls, NJ 07724-3141 - City
- Tinton Falls
- State
- NJ
- Zip
- 07724-3141
- Phone Number
- 732-546-4324
License Information
- License Number
- 25MP01034100
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Lara T Bakhtiarian, PA-C?
The NPI number of Lara T Bakhtiarian, PA-C is 1710893854. It was assigned on August 19, 2026 and is currently active in the NPPES registry.
What is the specialty of Lara T Bakhtiarian, PA-C?
Lara T Bakhtiarian, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP01034100.
Where does Lara T Bakhtiarian, PA-C practice?
The practice location is 101 Prosper Way Unit 4, Brick, NJ 08723-3539. The office can be reached at 877-425-7756 (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 1710893854 directly on the NPPES registry website.