Dmitriy Brener, PA-C
Physician Assistant in Old Bridge, New Jersey
1730802869- Practice location
- 200 Perrine RD Ste 220, Old Bridge, NJ 08857-2836
- Phone
- 201-753-8862
- Fax
- 201-408-5278
- Last updated
- September 23, 2022
Dmitriy Brener is a Physician Assistant based in Old Bridge, NJ. Dmitriy Brener practices in Old Bridge, NJ and has the professional credentials of PA-C. The NPI Number for Dmitriy Brener is 1730802869 and holds a License No. 25MP00735100 (NJ). The current practice location address for Dmitriy Brener is 200 Perrine RD Ste 220, Old Bridge, NJ 08857-2836 and can be reached out via phone at 201-753-8862 and via fax at 201-408-5278.
Provider Profile Details
- NPI Number
- 1730802869
- Provider Name
- Dmitriy Brener
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Perrine RD Ste 220, Old Bridge, NJ 08857-2836
- Phone Number
- 201-753-8862
- Fax Number
- 201-408-5278
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 23, 2022
- Last Update Date
- September 23, 2022
- Certification Date
- September 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Perrine RD Ste 220
Old Bridge, NJ 08857-2836 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-2836
- Phone Number
- 201-753-8862
- Fax Number
- 201-408-5278
Provider Business Mailing Address Details
- Address
- 15 Engle St Ste 102
Englewood, NJ 07631-2920 - City
- Englewood
- State
- NJ
- Zip
- 07631-2920
- Phone Number
- 201-753-8862
- Fax Number
- 551-245-8822
License Information
- License Number
- 25MP00735100
- 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. | |||
Other Physician Assistants near Old Bridge, NJ
View all Physician Assistants in Old Bridge →Frequently Asked Questions
What is the NPI number of Dmitriy Brener, PA-C?
The NPI number of Dmitriy Brener, PA-C is 1730802869. It was assigned on September 23, 2022 and is currently active in the NPPES registry.
What is the specialty of Dmitriy Brener, PA-C?
Dmitriy Brener, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00735100.
Where does Dmitriy Brener, PA-C practice?
The practice location is 200 Perrine RD Ste 220, Old Bridge, NJ 08857-2836. The office can be reached at 201-753-8862 (phone) or 201-408-5278 (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 1730802869 directly on the NPPES registry website.