Active NPIIndividual provider

Mr. Dylan M Hagel, PA-C

Physician Assistant in Neptune, New Jersey

NPI Number1922623115
Practice location
1820 State Route 33 Ste 4B, Neptune, NJ 07753-4860
Fax
—
Last updated
October 22, 2020

Dylan Mitchell Hagel is a Physician Assistant based in Neptune, NJ. Dylan Mitchell Hagel practices in Neptune, NJ and has the professional credentials of PA-C. The NPI Number for Dylan Mitchell Hagel is 1922623115 and holds a License No. PA-GTL-20-00749 (NJ). The current practice location address for Dylan Mitchell Hagel is 1820 State Route 33 Ste 4B, Neptune, NJ 07753-4860 and can be reached out via phone at 732-776-8500.

Provider Profile Details

NPI Number
1922623115
Provider Name
Dylan Mitchell Hagel
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1820 State Route 33 Ste 4B, Neptune, NJ 07753-4860
Phone Number
732-776-8500
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2020
Last Update Date
October 22, 2020
Certification Date
October 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1820 State Route 33 Ste 4B
Neptune, NJ 07753-4860
Zip
07753-4860
Phone Number
732-776-8500
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
40 Cross RD Apt 39
Matawan, NJ 07747-1105
City
Matawan
State
NJ
Zip
07747-1105
Phone Number
610-764-1804

License Information

License Number (1)
PA-GTL-20-00749
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00576900
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 Mr. Dylan M Hagel, PA-C?

The NPI number of Mr. Dylan M Hagel, PA-C is 1922623115. It was assigned on June 12, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Dylan M Hagel, PA-C?

Mr. Dylan M Hagel, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number PA-GTL-20-00749.

Where does Mr. Dylan M Hagel, PA-C practice?

The practice location is 1820 State Route 33 Ste 4B, Neptune, NJ 07753-4860. The office can be reached at 732-776-8500 (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 1922623115 directly on the NPPES registry website.

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