Active NPIIndividual provider

Yudelka B De Los Santos, PA

Physician Assistant, Surgical in Somers Point, New Jersey

NPI Number1740066737
Practice location
100 Medical Center Way, Somers Point, NJ 08244-2300
Fax
—
Last updated
December 11, 2024

Yudelka B De Los Santos is a Physician Assistant, Surgical based in Somers Point, NJ. Yudelka B De Los Santos practices in Somers Point, NJ and has the professional credentials of PA. The NPI Number for Yudelka B De Los Santos is 1740066737 and holds a License No. 25MP00818900 (NJ). The current practice location address for Yudelka B De Los Santos is 100 Medical Center Way, Somers Point, NJ 08244-2300 and can be reached out via phone at 609-653-3265.

Provider Profile Details

NPI Number
1740066737
Provider Name
Yudelka B De Los Santos
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
100 Medical Center Way, Somers Point, NJ 08244-2300
Phone Number
609-653-3265
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
Yudelka B Rodriguez Liria (Former Name)
Provider Enumeration Date
September 5, 2023
Last Update Date
December 11, 2024
Certification Date
December 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Medical Center Way
Somers Point, NJ 08244-2300
Zip
08244-2300
Phone Number
609-653-3265
Somers Point, NJ 08244Get directions →

Provider Business Mailing Address Details

Address
4906 Tulip Tree Pl
Mays Landing, NJ 08330-2831
City
Mays Landing
State
NJ
Zip
08330-2831
Phone Number
609-277-4951

License Information

License Number (1)
25MP00818900
License State (1)
NJ
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X · Primary
Taxonomy (2)
Physician Assistant · 363A00000X

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 Yudelka B De Los Santos, PA?

The NPI number of Yudelka B De Los Santos, PA is 1740066737. It was assigned on September 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Yudelka B De Los Santos, PA?

Yudelka B De Los Santos, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00818900.

Where does Yudelka B De Los Santos, PA practice?

The practice location is 100 Medical Center Way, Somers Point, NJ 08244-2300. The office can be reached at 609-653-3265 (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 1740066737 directly on the NPPES registry website.

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