Despina Lianidis, PA-C
Physician Assistant in Medford, New Jersey
1790430692- Practice location
- 131 Route 70 Ste 100, Medford, NJ 08055-9501
- Phone
- 609-267-9400
- Fax
- —
- Last updated
- September 27, 2022
Despina Lianidis is a Physician Assistant based in Medford, NJ. Despina Lianidis practices in Medford, NJ and has the professional credentials of PA-C. The NPI Number for Despina Lianidis is 1790430692 and holds a License No. 25MP00736200 (NJ). The current practice location address for Despina Lianidis is 131 Route 70 Ste 100, Medford, NJ 08055-9501 and can be reached out via phone at 609-267-9400.
Provider Profile Details
- NPI Number
- 1790430692
- Provider Name
- Despina Lianidis
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 131 Route 70 Ste 100, Medford, NJ 08055-9501
- Phone Number
- 609-267-9400
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 18, 2022
- Last Update Date
- September 27, 2022
- Certification Date
- September 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 Route 70 Ste 100
Medford, NJ 08055-9501 - City
- Medford
- State
- New Jersey
- Zip
- 08055-9501
- Phone Number
- 609-267-9400
Provider Business Mailing Address Details
- Address
- 131 Route 70 Ste 100
Medford, NJ 08055-9501 - City
- Medford
- State
- NJ
- Zip
- 08055-9501
- Phone Number
- 609-267-9400
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MP00736200
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · 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 Despina Lianidis, PA-C?
The NPI number of Despina Lianidis, PA-C is 1790430692. It was assigned on February 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Despina Lianidis, PA-C?
Despina Lianidis, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00736200.
Where does Despina Lianidis, PA-C practice?
The practice location is 131 Route 70 Ste 100, Medford, NJ 08055-9501. The office can be reached at 609-267-9400 (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 1790430692 directly on the NPPES registry website.