Active NPIIndividual provider

Nicole C Guzman, PA

Physician Assistant, Medical in Bayonne, New Jersey

NPI Number1811745060
Practice location
904 Bayonne Crossing Way, Bayonne, NJ 07002-5307
Fax
—
Last updated
October 14, 2024

Nicole Carmen Guzman is a Physician Assistant, Medical based in Bayonne, NJ. Nicole Carmen Guzman practices in Bayonne, NJ and has the professional credentials of PA. The NPI Number for Nicole Carmen Guzman is 1811745060 and holds a License No. 25MP00879300 (NJ). The current practice location address for Nicole Carmen Guzman is 904 Bayonne Crossing Way, Bayonne, NJ 07002-5307 and can be reached out via phone at 551-497-5675.

Provider Profile Details

NPI Number
1811745060
Provider Name
Nicole Carmen Guzman
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
904 Bayonne Crossing Way, Bayonne, NJ 07002-5307
Phone Number
551-497-5675
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2024
Last Update Date
October 14, 2024
Certification Date
October 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
904 Bayonne Crossing Way
Bayonne, NJ 07002-5307
Zip
07002-5307
Phone Number
551-497-5675
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
668 Saint George Ave
Woodbridge, NJ 07095-3133
City
Woodbridge
State
NJ
Zip
07095-3133
Phone Number
347-446-0637

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
25MP00879300
License State (3)
NJ
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X · 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 Nicole C Guzman, PA?

The NPI number of Nicole C Guzman, PA is 1811745060. It was assigned on May 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Nicole C Guzman, PA?

Nicole C Guzman, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00879300.

Where does Nicole C Guzman, PA practice?

The practice location is 904 Bayonne Crossing Way, Bayonne, NJ 07002-5307. The office can be reached at 551-497-5675 (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 1811745060 directly on the NPPES registry website.

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