Kevin Jaramillo, PAC
Physician Assistant, Medical in Englewood, New Jersey
1790459816- Practice location
- 39 Parkview Ter Apt 39, Englewood, NJ 07631-4214
- Phone
- 201-674-8415
- Fax
- —
- Last updated
- August 5, 2026
Kevin Jaramillo is a Physician Assistant, Medical based in Englewood, NJ. Kevin Jaramillo practices in Englewood, NJ and has the professional credentials of PAC. The NPI Number for Kevin Jaramillo is 1790459816 and holds a License No. 25MP00760900 (NJ). The current practice location address for Kevin Jaramillo is 39 Parkview Ter Apt 39, Englewood, NJ 07631-4214 and can be reached out via phone at 201-674-8415.
Provider Profile Details
- NPI Number
- 1790459816
- Provider Name
- Kevin Jaramillo
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 39 Parkview Ter Apt 39, Englewood, NJ 07631-4214
- Phone Number
- 201-674-8415
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 3, 2021
- Last Update Date
- August 5, 2026
- Certification Date
- August 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 Parkview Ter Apt 39
Englewood, NJ 07631-4214 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-4214
- Phone Number
- 201-674-8415
Provider Business Mailing Address Details
- Address
- 16-12 Far Rockaway Blvd
Far Rockaway, NY 11691 - City
- Far Rockaway
- State
- NY
- Zip
- 11691
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00760900
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
- License Number (3)
- 2745644
- License State (3)
- NY
- Taxonomy (3)
- 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 Kevin Jaramillo, PAC?
The NPI number of Kevin Jaramillo, PAC is 1790459816. It was assigned on August 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Kevin Jaramillo, PAC?
Kevin Jaramillo, PAC is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00760900.
Where does Kevin Jaramillo, PAC practice?
The practice location is 39 Parkview Ter Apt 39, Englewood, NJ 07631-4214. The office can be reached at 201-674-8415 (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 1790459816 directly on the NPPES registry website.