Active NPIIndividual providerSole proprietor

Mrs. Devon M Rutherford, PA-C

Physician Assistant in Egg Harbor Township, New Jersey

NPI Number1790066637
Practice location
2500 English Creek Ave, Bldg 500, Ste 501, Egg Harbor Township, NJ 08234
Fax
609-829-8061
Last updated
May 19, 2025

Devon Marie Rutherford is a Physician Assistant based in Egg Harbor Township, NJ. Devon Marie Rutherford practices in Egg Harbor Township, NJ and has the professional credentials of PA-C. The NPI Number for Devon Marie Rutherford is 1790066637 and holds a License No. 25MP00369700 (NJ). The current practice location address for Devon Marie Rutherford is 2500 English Creek Ave, Bldg 500, Ste 501, Egg Harbor Township, NJ 08234 and can be reached out via phone at 609-833-4410 and via fax at 609-829-8061.

Provider Profile Details

NPI Number
1790066637
Provider Name
Devon Marie Rutherford
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2500 English Creek Ave, Bldg 500, Ste 501, Egg Harbor Township, NJ 08234
Phone Number
609-833-4410
Fax Number
609-829-8061
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2011
Last Update Date
May 19, 2025
Certification Date
May 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 English Creek Ave
Bldg 500, Ste 501
Egg Harbor Township, NJ 08234
Zip
08234
Phone Number
609-833-4410
Fax Number
609-829-8061
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
2500 English Creek Ave
Bldg 500, Ste 501
Egg Harbor Township, NJ 08234
City
Egg Harbor Township
State
NJ
Zip
08234
Phone Number
609-833-4410
Fax Number
609-829-8061

License Information

License Number (1)
25MP00369700
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
C0004496
License State (2)
MD
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
PA60863546
License State (3)
WA
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X
License Number (4)
0110003616
License State (4)
VA
Taxonomy (4)
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 Mrs. Devon M Rutherford, PA-C?

The NPI number of Mrs. Devon M Rutherford, PA-C is 1790066637. It was assigned on September 6, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Devon M Rutherford, PA-C?

Mrs. Devon M Rutherford, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00369700.

Where does Mrs. Devon M Rutherford, PA-C practice?

The practice location is 2500 English Creek Ave, Bldg 500, Ste 501, Egg Harbor Township, NJ 08234. The office can be reached at 609-833-4410 (phone) or 609-829-8061 (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 1790066637 directly on the NPPES registry website.

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