Jack P Fatica, MD
Psychiatry & Neurology, Psychiatry in Piscataway, New Jersey
1811482516- Practice location
- 671 Hoes Ln W, Piscataway, NJ 08854-8021
- Phone
- 732-235-5500
- Fax
- —
- Last updated
- June 27, 2022
Jack Pasquale Fatica is a Psychiatry & Neurology, Psychiatry based in Piscataway, NJ. Jack Pasquale Fatica practices in Piscataway, NJ and has the professional credentials of MD. The NPI Number for Jack Pasquale Fatica is 1811482516 and holds a License No. 25MA11257100 (NJ). The current practice location address for Jack Pasquale Fatica is 671 Hoes Ln W, Piscataway, NJ 08854-8021 and can be reached out via phone at 732-235-5500.
Provider Profile Details
- NPI Number
- 1811482516
- Provider Name
- Jack Pasquale Fatica
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 671 Hoes Ln W, Piscataway, NJ 08854-8021
- Phone Number
- 732-235-5500
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 25, 2018
- Last Update Date
- June 27, 2022
- Certification Date
- June 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 671 Hoes Ln W
Piscataway, NJ 08854-8021 - City
- Piscataway
- State
- New Jersey
- Zip
- 08854-8021
- Phone Number
- 732-235-5500
Provider Business Mailing Address Details
- Address
- 671 Hoes Ln W
Piscataway, NJ 08854-8021 - City
- Piscataway
- State
- NJ
- Zip
- 08854-8021
- Phone Number
- 732-235-5500
License Information
- License Number
- 25MA11257100
- License State
- NJ
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Jack P Fatica, MD?
The NPI number of Jack P Fatica, MD is 1811482516. It was assigned on June 25, 2018 and is currently active in the NPPES registry.
What is the specialty of Jack P Fatica, MD?
Jack P Fatica, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 25MA11257100.
Where does Jack P Fatica, MD practice?
The practice location is 671 Hoes Ln W, Piscataway, NJ 08854-8021. The office can be reached at 732-235-5500 (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 1811482516 directly on the NPPES registry website.