Active NPIIndividual provider

Michael Mammon

Physician Assistant in Denville, New Jersey

NPI Number1770665341
Practice location
25 Pocono RD, Denville, NJ 07834-2954
Fax
—
Last updated
July 8, 2007

Michael Mammon is a Physician Assistant based in Denville, NJ. Michael Mammon practices in Denville, NJ. The NPI Number for Michael Mammon is 1770665341 and holds a License No. MP-529 (NJ). The current practice location address for Michael Mammon is 25 Pocono RD, Denville, NJ 07834-2954 and can be reached out via phone at 973-625-5000.

Provider Profile Details

NPI Number
1770665341
Provider Name
Michael Mammon
Provider Entity Type
Individual
Gender
Male
Address
25 Pocono RD, Denville, NJ 07834-2954
Phone Number
973-625-5000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Pocono RD
Denville, NJ 07834-2954
Zip
07834-2954
Phone Number
973-625-5000
Denville, NJ 07834Get directions →

Provider Business Mailing Address Details

Address
1101 Adams St Apt 406
Hoboken, NJ 07030-2221
City
Hoboken
State
NJ
Zip
07030-2221
Phone Number
201-963-9211

License Information

License Number
MP-529
License State
NJ
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 Michael Mammon?

The NPI number of Michael Mammon is 1770665341. It was assigned on October 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael Mammon?

Michael Mammon is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number MP-529.

Where does Michael Mammon practice?

The practice location is 25 Pocono RD, Denville, NJ 07834-2954. The office can be reached at 973-625-5000 (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 1770665341 directly on the NPPES registry website.

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