Active NPIIndividual provider

Kristen D Forsyth, PA-C

Physician Assistant, Surgical in Brick, New Jersey

NPI Number1871909119
Practice location
457 Jack Martin Blvd, Brick, NJ 08724-7776
Fax
732-840-2088
Last updated
December 9, 2024

Kristen D Forsyth is a Physician Assistant, Surgical based in Brick, NJ. Kristen D Forsyth practices in Brick, NJ and has the professional credentials of PA-C. The NPI Number for Kristen D Forsyth is 1871909119 and holds a License No. 25MP00338500 (NJ). The current practice location address for Kristen D Forsyth is 457 Jack Martin Blvd, Brick, NJ 08724-7776 and can be reached out via phone at 732-840-7500 and via fax at 732-840-2088.

Provider Profile Details

NPI Number
1871909119
Provider Name
Kristen D Forsyth
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
457 Jack Martin Blvd, Brick, NJ 08724-7776
Phone Number
732-840-7500
Fax Number
732-840-2088
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2014
Last Update Date
December 9, 2024
Certification Date
December 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
457 Jack Martin Blvd
Brick, NJ 08724-7776
City
Brick
Zip
08724-7776
Phone Number
732-840-7500
Fax Number
732-840-2088
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
457 Jack Martin Blvd
Brick, NJ 08724-7776
City
Brick
State
NJ
Zip
08724-7776
Phone Number
732-840-7500
Fax Number
732-840-2088

License Information

License Number (1)
25MP00338500
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00338500
License State (2)
NJ
Taxonomy (2)
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 Kristen D Forsyth, PA-C?

The NPI number of Kristen D Forsyth, PA-C is 1871909119. It was assigned on July 8, 2014 and is currently active in the NPPES registry.

What is the specialty of Kristen D Forsyth, PA-C?

Kristen D Forsyth, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00338500.

Where does Kristen D Forsyth, PA-C practice?

The practice location is 457 Jack Martin Blvd, Brick, NJ 08724-7776. The office can be reached at 732-840-7500 (phone) or 732-840-2088 (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 1871909119 directly on the NPPES registry website.

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