Active NPIIndividual provider

Mr. Joseph D Mammano, PHYSICIAN ASSISTANT

Physician Assistant, Surgical in Northfield, New Jersey

NPI Number1851677678
Practice location
611 New RD, Northfield, NJ 08225-1669
Fax
609-625-8245
Last updated
February 25, 2016

Joseph Daniel Mammano is a Physician Assistant, Surgical based in Northfield, NJ. Joseph Daniel Mammano practices in Northfield, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Joseph Daniel Mammano is 1851677678 and holds a License No. 25MP00270300 (NJ). The current practice location address for Joseph Daniel Mammano is 611 New RD, Northfield, NJ 08225-1669 and can be reached out via phone at 609-645-1500 and via fax at 609-625-8245.

Provider Profile Details

NPI Number
1851677678
Provider Name
Joseph Daniel Mammano
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
611 New RD, Northfield, NJ 08225-1669
Phone Number
609-645-1500
Fax Number
609-625-8245
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2011
Last Update Date
February 25, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
611 New RD
Northfield, NJ 08225-1669
Zip
08225-1669
Phone Number
609-645-1500
Fax Number
609-625-8245
Northfield, NJ 08225Get directions →

Provider Business Mailing Address Details

Address
925 Chestnut St
Fl 5
Philadelphia, PA 19107-4206
City
Philadelphia
State
PA
Zip
19107-4206
Phone Number
800-321-9999
Fax Number
267-339-3761

License Information

License Number
25MP00270300
License State
NJ
Taxonomy
Physician Assistant, Surgical · 363AS0400X · 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 Mr. Joseph D Mammano, PHYSICIAN ASSISTANT?

The NPI number of Mr. Joseph D Mammano, PHYSICIAN ASSISTANT is 1851677678. It was assigned on October 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Joseph D Mammano, PHYSICIAN ASSISTANT?

Mr. Joseph D Mammano, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00270300.

Where does Mr. Joseph D Mammano, PHYSICIAN ASSISTANT practice?

The practice location is 611 New RD, Northfield, NJ 08225-1669. The office can be reached at 609-645-1500 (phone) or 609-625-8245 (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 1851677678 directly on the NPPES registry website.

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