Active NPIIndividual provider

Dean G Imbemba, PA-C

Physician Assistant in Linden, New Jersey

NPI Number1861065153
Practice location
210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900
Fax
—
Last updated
August 9, 2021

Dean Gabriel Imbemba is a Physician Assistant based in Linden, NJ. Dean Gabriel Imbemba practices in Linden, NJ and has the professional credentials of PA-C. The NPI Number for Dean Gabriel Imbemba is 1861065153 and holds a License No. 25MP00636900 (NJ). The current practice location address for Dean Gabriel Imbemba is 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900 and can be reached out via phone at 908-486-1111.

Provider Profile Details

NPI Number
1861065153
Provider Name
Dean Gabriel Imbemba
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900
Phone Number
908-486-1111
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 23, 2021
Last Update Date
August 9, 2021
Certification Date
August 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 W Saint Georges Ave Fl 2
Linden, NJ 07036-3900
City
Linden
Zip
07036-3900
Phone Number
908-486-1111
Linden, NJ 07036Get directions →

Provider Business Mailing Address Details

Address
210 W Saint Georges Ave Fl 2
Linden, NJ 07036-3900
City
Linden
State
NJ
Zip
07036-3900

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00636900
License State (2)
NJ
Taxonomy (2)
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 Dean G Imbemba, PA-C?

The NPI number of Dean G Imbemba, PA-C is 1861065153. It was assigned on July 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Dean G Imbemba, PA-C?

Dean G Imbemba, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00636900.

Where does Dean G Imbemba, PA-C practice?

The practice location is 210 W Saint Georges Ave Fl 2, Linden, NJ 07036-3900. The office can be reached at 908-486-1111 (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 1861065153 directly on the NPPES registry website.

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