Mr. Xenophon S Speros IV, PA-C
Physician Assistant, Surgical in Florham Park, New Jersey
1831932078- Practice location
- 140 Park Ave, Florham Park, NJ 07932-1049
- Phone
- 973-404-9700
- Fax
- —
- Last updated
- September 4, 2024
Xenophon Stephen Speros is a Physician Assistant, Surgical based in Florham Park, NJ. Xenophon Stephen Speros practices in Florham Park, NJ and has the professional credentials of PA-C. The NPI Number for Xenophon Stephen Speros is 1831932078 and holds a License No. 25MP00859900 (NJ). The current practice location address for Xenophon Stephen Speros is 140 Park Ave, Florham Park, NJ 07932-1049 and can be reached out via phone at 973-404-9700.
Provider Profile Details
- NPI Number
- 1831932078
- Provider Name
- Xenophon Stephen Speros
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 140 Park Ave, Florham Park, NJ 07932-1049
- Phone Number
- 973-404-9700
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 17, 2024
- Last Update Date
- September 4, 2024
- Certification Date
- September 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Park Ave
Florham Park, NJ 07932-1049 - City
- Florham Park
- State
- New Jersey
- Zip
- 07932-1049
- Phone Number
- 973-404-9700
Provider Business Mailing Address Details
- Address
- 45 Hillside RD
Elizabeth, NJ 07208-1245 - City
- Elizabeth
- State
- NJ
- Zip
- 07208-1245
- Phone Number
- 908-967-4737
License Information
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X
- License Number (2)
- 25MP00859900
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Florham Park, NJ
View all Physician Assistant, Surgical providers in Florham Park →Frequently Asked Questions
What is the NPI number of Mr. Xenophon S Speros IV, PA-C?
The NPI number of Mr. Xenophon S Speros IV, PA-C is 1831932078. It was assigned on June 17, 2024 and is currently active in the NPPES registry.
What is the specialty of Mr. Xenophon S Speros IV, PA-C?
Mr. Xenophon S Speros IV, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00859900.
Where does Mr. Xenophon S Speros IV, PA-C practice?
The practice location is 140 Park Ave, Florham Park, NJ 07932-1049. The office can be reached at 973-404-9700 (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 1831932078 directly on the NPPES registry website.