Active NPIIndividual provider

Stephanie C Desimone, PA-C

Plastic Surgery in Eatontown, New Jersey

NPI Number1902570955
Practice location
32 Corbett Way, Eatontown, NJ 07724-2263
Fax
—
Last updated
August 3, 2021

Stephanie Concetta Desimone is a Plastic Surgery based in Eatontown, NJ. Stephanie Concetta Desimone practices in Eatontown, NJ and has the professional credentials of PA-C. The NPI Number for Stephanie Concetta Desimone is 1902570955 and holds a License No. 25MP00628700 (NJ). The current practice location address for Stephanie Concetta Desimone is 32 Corbett Way, Eatontown, NJ 07724-2263 and can be reached out via phone at 732-460-9555.

Provider Profile Details

NPI Number
1902570955
Provider Name
Stephanie Concetta Desimone
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
32 Corbett Way, Eatontown, NJ 07724-2263
Phone Number
732-460-9555
Primary Taxonomy
Plastic Surgery · 208200000X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2021
Last Update Date
August 3, 2021
Certification Date
August 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Corbett Way
Eatontown, NJ 07724-2263
Zip
07724-2263
Phone Number
732-460-9555
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
32 Corbett Way
Eatontown, NJ 07724-2263
City
Eatontown
State
NJ
Zip
07724-2263
Phone Number
732-460-9555

License Information

License Number
25MP00628700
License State
NJ
Taxonomy
Plastic Surgery · 208200000X · 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 Stephanie C Desimone, PA-C?

The NPI number of Stephanie C Desimone, PA-C is 1902570955. It was assigned on August 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Stephanie C Desimone, PA-C?

Stephanie C Desimone, PA-C is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in NJ under license number 25MP00628700.

Where does Stephanie C Desimone, PA-C practice?

The practice location is 32 Corbett Way, Eatontown, NJ 07724-2263. The office can be reached at 732-460-9555 (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 1902570955 directly on the NPPES registry website.

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