Nicole Phin
Physician Assistant, Medical in Newark, New Jersey
1760918262- Practice location
- 617 Broad St, Newark, NJ 07102-4403
- Phone
- 862-246-7940
- Fax
- 862-246-7941
- Last updated
- August 7, 2023
Nicole Phin is a Physician Assistant, Medical based in Newark, NJ. Nicole Phin practices in Newark, NJ. The NPI Number for Nicole Phin is 1760918262 and holds a License No. 25MP00434300 (NJ). The current practice location address for Nicole Phin is 617 Broad St, Newark, NJ 07102-4403 and can be reached out via phone at 862-246-7940 and via fax at 862-246-7941.
Provider Profile Details
- NPI Number
- 1760918262
- Provider Name
- Nicole Phin
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 617 Broad St, Newark, NJ 07102-4403
- Phone Number
- 862-246-7940
- Fax Number
- 862-246-7941
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2017
- Last Update Date
- August 7, 2023
- Certification Date
- August 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 617 Broad St
Newark, NJ 07102-4403 - City
- Newark
- State
- New Jersey
- Zip
- 07102-4403
- Phone Number
- 862-246-7940
- Fax Number
- 862-246-7941
Provider Business Mailing Address Details
- Address
- 1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104 - City
- Berkeley Heights
- State
- NJ
- Zip
- 07922-2104
- Phone Number
- 908-273-4300
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MP00434300
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · 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 Nicole Phin?
The NPI number of Nicole Phin is 1760918262. It was assigned on May 4, 2017 and is currently active in the NPPES registry.
What is the specialty of Nicole Phin?
Nicole Phin is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00434300.
Where does Nicole Phin practice?
The practice location is 617 Broad St, Newark, NJ 07102-4403. The office can be reached at 862-246-7940 (phone) or 862-246-7941 (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 1760918262 directly on the NPPES registry website.