Active NPIIndividual provider

Michelle Rose Maddatu, PA-C

Physician Assistant in Short Hills, New Jersey

NPI Number1932706579
Practice location
770 Morris Tpke Ste 111, Short Hills, NJ 07078-2699
Fax
—
Last updated
February 25, 2024

Michelle Rose Maddatu is a Physician Assistant based in Short Hills, NJ. Michelle Rose Maddatu practices in Short Hills, NJ and has the professional credentials of PA-C. The NPI Number for Michelle Rose Maddatu is 1932706579. The current practice location address for Michelle Rose Maddatu is 770 Morris Tpke Ste 111, Short Hills, NJ 07078-2699 and can be reached out via phone at 908-275-5430.

Provider Profile Details

NPI Number
1932706579
Provider Name
Michelle Rose Maddatu
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
770 Morris Tpke Ste 111, Short Hills, NJ 07078-2699
Phone Number
908-275-5430
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 7, 2020
Last Update Date
February 25, 2024
Certification Date
February 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
770 Morris Tpke Ste 111
Short Hills, NJ 07078-2699
Zip
07078-2699
Phone Number
908-275-5430
Short Hills, NJ 07078Get directions →

Provider Business Mailing Address Details

Address
742 Durham Ter
Brick, NJ 08724-1064
City
Brick
State
NJ
Zip
08724-1064

License Information

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 Michelle Rose Maddatu, PA-C?

The NPI number of Michelle Rose Maddatu, PA-C is 1932706579. It was assigned on October 7, 2020 and is currently active in the NPPES registry.

What is the specialty of Michelle Rose Maddatu, PA-C?

Michelle Rose Maddatu, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Michelle Rose Maddatu, PA-C practice?

The practice location is 770 Morris Tpke Ste 111, Short Hills, NJ 07078-2699. The office can be reached at 908-275-5430 (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 1932706579 directly on the NPPES registry website.

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