Active NPIIndividual provider

Kelly Magrino, PA-C

Physician Assistant in Fanwood, New Jersey

NPI Number1902563554
Practice location
48 4TH St, Fanwood, NJ 07023-1218
Fax
—
Last updated
November 18, 2021

Kelly Magrino is a Physician Assistant based in Fanwood, NJ. Kelly Magrino practices in Fanwood, NJ and has the professional credentials of PA-C. The NPI Number for Kelly Magrino is 1902563554 and holds a License No. 027650-01 (NY). The current practice location address for Kelly Magrino is 48 4TH St, Fanwood, NJ 07023-1218 and can be reached out via phone at 908-477-6131.

Provider Profile Details

NPI Number
1902563554
Provider Name
Kelly Magrino
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
48 4TH St, Fanwood, NJ 07023-1218
Phone Number
908-477-6131
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2021
Last Update Date
November 18, 2021
Certification Date
November 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 4TH St
Fanwood, NJ 07023-1218
Zip
07023-1218
Phone Number
908-477-6131
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
48 4TH St
Fanwood, NJ 07023-1218
City
Fanwood
State
NJ
Zip
07023-1218
Phone Number
908-477-6131

License Information

License Number (1)
027650-01
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00658100
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 Kelly Magrino, PA-C?

The NPI number of Kelly Magrino, PA-C is 1902563554. It was assigned on November 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Kelly Magrino, PA-C?

Kelly Magrino, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 027650-01.

Where does Kelly Magrino, PA-C practice?

The practice location is 48 4TH St, Fanwood, NJ 07023-1218. The office can be reached at 908-477-6131 (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 1902563554 directly on the NPPES registry website.

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