Active NPIIndividual provider

Mrs. Tamar D Mermelstein, PA-C

Physician Assistant in Ridgewood, New Jersey

NPI Number1811411267
Practice location
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Fax
—
Last updated
June 19, 2019

Tamar D Mermelstein is a Physician Assistant based in Ridgewood, NJ. Tamar D Mermelstein practices in Ridgewood, NJ and has the professional credentials of PA-C. The NPI Number for Tamar D Mermelstein is 1811411267 and holds a License No. 021108 (NY). The current practice location address for Tamar D Mermelstein is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 and can be reached out via phone at 201-493-1717.

Provider Profile Details

NPI Number
1811411267
Provider Name
Tamar D Mermelstein
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Phone Number
201-493-1717
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2017
Last Update Date
June 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Zip
07450-3957
Phone Number
201-493-1717
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
City
Ridgewood
State
NJ
Zip
07450-3957
Phone Number
201-493-1717

License Information

License Number (1)
021108
License State (1)
NY
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
021108
License State (2)
NY
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
25MP00469000
License State (3)
NJ
Taxonomy (3)
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 Mrs. Tamar D Mermelstein, PA-C?

The NPI number of Mrs. Tamar D Mermelstein, PA-C is 1811411267. It was assigned on July 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tamar D Mermelstein, PA-C?

Mrs. Tamar D Mermelstein, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 021108.

Where does Mrs. Tamar D Mermelstein, PA-C practice?

The practice location is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957. The office can be reached at 201-493-1717 (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 1811411267 directly on the NPPES registry website.

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