Active NPIIndividual providerSole proprietor

Jeremy Baumgarten, PA-C

Physician Assistant in Cedar Knolls, New Jersey

NPI Number1790193076
Practice location
197 Ridgedale Ave, Cedar Knolls, NJ 07927-2111
Fax
—
Last updated
September 17, 2021

Jeremy Baumgarten is a Physician Assistant based in Cedar Knolls, NJ. Jeremy Baumgarten practices in Cedar Knolls, NJ and has the professional credentials of PA-C. The NPI Number for Jeremy Baumgarten is 1790193076 and holds a License No. 25MP00341600 (NJ). The current practice location address for Jeremy Baumgarten is 197 Ridgedale Ave, Cedar Knolls, NJ 07927-2111 and can be reached out via phone at 908-217-2896.

Provider Profile Details

NPI Number
1790193076
Provider Name
Jeremy Baumgarten
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
197 Ridgedale Ave, Cedar Knolls, NJ 07927-2111
Phone Number
908-217-2896
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 30, 2014
Last Update Date
September 17, 2021
Certification Date
September 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111
Zip
07927-2111
Phone Number
908-217-2896
Cedar Knolls, NJ 07927Get directions →

Provider Business Mailing Address Details

Address
1 Capital Way
Pennington, NJ 08534-2520
City
Pennington
State
NJ
Zip
08534-2520
Phone Number
609-303-4000

License Information

License Number
25MP00341600
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 Jeremy Baumgarten, PA-C?

The NPI number of Jeremy Baumgarten, PA-C is 1790193076. It was assigned on July 30, 2014 and is currently active in the NPPES registry.

What is the specialty of Jeremy Baumgarten, PA-C?

Jeremy Baumgarten, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00341600.

Where does Jeremy Baumgarten, PA-C practice?

The practice location is 197 Ridgedale Ave, Cedar Knolls, NJ 07927-2111. The office can be reached at 908-217-2896 (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 1790193076 directly on the NPPES registry website.

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