Active NPIIndividual provider

Mrs. Meaghan R Gavan, PA-C

Physician Assistant in Eatontown, New Jersey

NPI Number1881029007
Practice location
234 Industrial Way W Ste A103, Suite A, Eatontown, NJ 07724-4257
Fax
—
Last updated
October 23, 2016

Meaghan Rose Gavan is a Physician Assistant based in Eatontown, NJ. Meaghan Rose Gavan practices in Eatontown, NJ and has the professional credentials of PA-C. The NPI Number for Meaghan Rose Gavan is 1881029007 and holds a License No. 25MP00308500 (NJ). The current practice location address for Meaghan Rose Gavan is 234 Industrial Way W Ste A103, Suite A, Eatontown, NJ 07724-4257 and can be reached out via phone at 848-208-2055.

Provider Profile Details

NPI Number
1881029007
Provider Name
Meaghan Rose Gavan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
234 Industrial Way W Ste A103, Suite A, Eatontown, NJ 07724-4257
Phone Number
848-208-2055
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Ms. Meaghan Rose Brennan, PA-C (Former Name)
Provider Enumeration Date
September 6, 2013
Last Update Date
October 23, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
234 Industrial Way W Ste A103
Suite A
Eatontown, NJ 07724-4257
Zip
07724-4257
Phone Number
848-208-2055
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
234 Industrial Way W Ste A103
Suite A
Eatontown, NJ 07724-4257
City
Eatontown
State
NJ
Zip
07724-4257
Phone Number
848-208-2055

License Information

License Number (1)
25MP00308500
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
016624
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X

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 Mrs. Meaghan R Gavan, PA-C?

The NPI number of Mrs. Meaghan R Gavan, PA-C is 1881029007. It was assigned on September 6, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Meaghan R Gavan, PA-C?

Mrs. Meaghan R Gavan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00308500.

Where does Mrs. Meaghan R Gavan, PA-C practice?

The practice location is 234 Industrial Way W Ste A103, Suite A, Eatontown, NJ 07724-4257. The office can be reached at 848-208-2055 (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 1881029007 directly on the NPPES registry website.

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