Active NPIIndividual provider

Christine L Gordynskiy-Ageyev, PAC

Physician Assistant in Pennington, New Jersey

NPI Number1902537210
Practice location
1 Capital Way, Pennington, NJ 08534-2520
Fax
—
Last updated
November 7, 2023

Christine Luda Gordynskiy-Ageyev is a Physician Assistant based in Pennington, NJ. Christine Luda Gordynskiy-Ageyev practices in Pennington, NJ and has the professional credentials of PAC. The NPI Number for Christine Luda Gordynskiy-Ageyev is 1902537210 and holds a License No. MA063604 (PA). The current practice location address for Christine Luda Gordynskiy-Ageyev is 1 Capital Way, Pennington, NJ 08534-2520 and can be reached out via phone at 609-303-4000.

Provider Profile Details

NPI Number
1902537210
Provider Name
Christine Luda Gordynskiy-Ageyev
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
1 Capital Way, Pennington, NJ 08534-2520
Phone Number
609-303-4000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2022
Last Update Date
November 7, 2023
Certification Date
November 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Capital Way
Pennington, NJ 08534-2520
Zip
08534-2520
Phone Number
609-303-4000
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
1078 White Horse Ave
Hamilton, NJ 08610-1425
City
Hamilton
State
NJ
Zip
08610-1425
Phone Number
609-581-9100

License Information

License Number
MA063604
License State
PA
Taxonomy
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 Christine L Gordynskiy-Ageyev, PAC?

The NPI number of Christine L Gordynskiy-Ageyev, PAC is 1902537210. It was assigned on June 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Christine L Gordynskiy-Ageyev, PAC?

Christine L Gordynskiy-Ageyev, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA063604.

Where does Christine L Gordynskiy-Ageyev, PAC practice?

The practice location is 1 Capital Way, Pennington, NJ 08534-2520. The office can be reached at 609-303-4000 (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 1902537210 directly on the NPPES registry website.

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