Michael T Booth, PA
Physician Assistant in Franklin Lakes, New Jersey
1811408313- Practice location
- 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417-1306
- Phone
- 844-777-0910
- Fax
- 201-560-0712
- Last updated
- November 2, 2018
Michael Tyler Booth is a Physician Assistant based in Franklin Lakes, NJ. Michael Tyler Booth practices in Franklin Lakes, NJ and has the professional credentials of PA. The NPI Number for Michael Tyler Booth is 1811408313 and holds a License No. 25MP00452000 (NJ). The current practice location address for Michael Tyler Booth is 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417-1306 and can be reached out via phone at 844-777-0910 and via fax at 201-560-0712.
Provider Profile Details
- NPI Number
- 1811408313
- Provider Name
- Michael Tyler Booth
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417-1306
- Phone Number
- 844-777-0910
- Fax Number
- 201-560-0712
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2017
- Last Update Date
- November 2, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 784 Franklin Ave Ste 250
Franklin Lakes, NJ 07417-1306 - City
- Franklin Lakes
- State
- New Jersey
- Zip
- 07417-1306
- Phone Number
- 844-777-0910
- Fax Number
- 201-560-0712
Provider Business Mailing Address Details
- Address
- 39 Cedar Grove Pkwy
Cedar Grove, NJ 07009-1405 - City
- Cedar Grove
- State
- NJ
- Zip
- 07009-1405
- Phone Number
- 973-738-0627
License Information
- License Number
- 25MP00452000
- License State
- NJ
- Taxonomy
- 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 Michael T Booth, PA?
The NPI number of Michael T Booth, PA is 1811408313. It was assigned on October 24, 2017 and is currently active in the NPPES registry.
What is the specialty of Michael T Booth, PA?
Michael T Booth, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00452000.
Where does Michael T Booth, PA practice?
The practice location is 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417-1306. The office can be reached at 844-777-0910 (phone) or 201-560-0712 (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 1811408313 directly on the NPPES registry website.