Active NPIIndividual providerSole proprietor

Anissa Ittner, PA-C

Physician Assistant in Newark, New Jersey

NPI Number1740959311
Practice location
90 Bergen St Ste 8100, Newark, NJ 07103-2425
Fax
—
Last updated
September 8, 2021

Anissa Ittner is a Physician Assistant based in Newark, NJ. Anissa Ittner practices in Newark, NJ and has the professional credentials of PA-C. The NPI Number for Anissa Ittner is 1740959311. The current practice location address for Anissa Ittner is 90 Bergen St Ste 8100, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-2323.

Provider Profile Details

NPI Number
1740959311
Provider Name
Anissa Ittner
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
90 Bergen St Ste 8100, Newark, NJ 07103-2425
Phone Number
973-972-2323
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 8, 2021
Last Update Date
September 8, 2021
Certification Date
May 31, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Bergen St Ste 8100
Newark, NJ 07103-2425
City
Newark
Zip
07103-2425
Phone Number
973-972-2323
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
90 Bergen St Ste 8100
Newark, NJ 07103-2425
City
Newark
State
NJ
Zip
07103-2425

License Information

Taxonomy
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 Anissa Ittner, PA-C?

The NPI number of Anissa Ittner, PA-C is 1740959311. It was assigned on September 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Anissa Ittner, PA-C?

Anissa Ittner, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Anissa Ittner, PA-C practice?

The practice location is 90 Bergen St Ste 8100, Newark, NJ 07103-2425. The office can be reached at 973-972-2323 (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 1740959311 directly on the NPPES registry website.

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