Active NPIIndividual providerSole proprietor

Stephanie S Fernandes

Physician Assistant in Perth Amboy, New Jersey

NPI Number1790554327
Practice location
530 New Brunswick Ave, Perth Amboy, NJ 08861-3654
Fax
—
Last updated
June 1, 2025

Stephanie Sandra Fernandes is a Physician Assistant based in Perth Amboy, NJ. Stephanie Sandra Fernandes practices in Perth Amboy, NJ. The NPI Number for Stephanie Sandra Fernandes is 1790554327 and holds a License No. 25MP00891100 (NJ). The current practice location address for Stephanie Sandra Fernandes is 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 and can be reached out via phone at 732-324-5138.

Provider Profile Details

NPI Number
1790554327
Provider Name
Stephanie Sandra Fernandes
Provider Entity Type
Individual
Gender
Female
Address
530 New Brunswick Ave, Perth Amboy, NJ 08861-3654
Phone Number
732-324-5138
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 22, 2023
Last Update Date
June 1, 2025
Certification Date
June 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Zip
08861-3654
Phone Number
732-324-5138
Perth Amboy, NJ 08861Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD Ste 220
Red Bank, NJ 07701-5792
City
Red Bank
State
NJ
Zip
07701-5792

License Information

License Number
25MP00891100
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 Stephanie S Fernandes?

The NPI number of Stephanie S Fernandes is 1790554327. It was assigned on December 22, 2023 and is currently active in the NPPES registry.

What is the specialty of Stephanie S Fernandes?

Stephanie S Fernandes is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00891100.

Where does Stephanie S Fernandes practice?

The practice location is 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654. The office can be reached at 732-324-5138 (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 1790554327 directly on the NPPES registry website.

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