Mirna Ayoub, PA-C
Physician Assistant in Montclair, New Jersey
1891020459- Practice location
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone
- 973-429-6930
- Fax
- 973-429-6209
- Last updated
- April 21, 2017
Mirna Ayoub is a Physician Assistant based in Montclair, NJ. Mirna Ayoub practices in Montclair, NJ and has the professional credentials of PA-C. The NPI Number for Mirna Ayoub is 1891020459 and holds a License No. 25MP0026900 (NJ). The current practice location address for Mirna Ayoub is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6930 and via fax at 973-429-6209.
Provider Profile Details
- NPI Number
- 1891020459
- Provider Name
- Mirna Ayoub
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone Number
- 973-429-6930
- Fax Number
- 973-429-6209
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 14, 2009
- Last Update Date
- April 21, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Bay Ave
Montclair, NJ 07042-4837 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4837
- Phone Number
- 973-429-6930
- Fax Number
- 973-429-6209
Provider Business Mailing Address Details
- Address
- Po Box 419430
Boston, MA 02241-9430 - City
- Boston
- State
- MA
- Zip
- 02241-9430
- Phone Number
- 201-666-3900
- Fax Number
- 201-261-0505
License Information
- License Number
- 25MP0026900
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Montclair, NJ
View all Physician Assistants in Montclair →Frequently Asked Questions
What is the NPI number of Mirna Ayoub, PA-C?
The NPI number of Mirna Ayoub, PA-C is 1891020459. It was assigned on October 14, 2009 and is currently active in the NPPES registry.
What is the specialty of Mirna Ayoub, PA-C?
Mirna Ayoub, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP0026900.
Where does Mirna Ayoub, PA-C practice?
The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-429-6930 (phone) or 973-429-6209 (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 1891020459 directly on the NPPES registry website.