Active NPIIndividual providerSole proprietor

Stanley John, PHYSICIAN ASSISTANT

Physician Assistant in Bergenfield, New Jersey

NPI Number1942567524
Practice location
324 W Clinton Ave, Bergenfield, NJ 07621-1903
Fax
—
Last updated
November 27, 2016

Stanley John is a Physician Assistant based in Bergenfield, NJ. Stanley John practices in Bergenfield, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Stanley John is 1942567524 and holds a License No. 25MP00395900 (NJ). The current practice location address for Stanley John is 324 W Clinton Ave, Bergenfield, NJ 07621-1903 and can be reached out via phone at 917-287-4154.

Provider Profile Details

NPI Number
1942567524
Provider Name
Stanley John
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
324 W Clinton Ave, Bergenfield, NJ 07621-1903
Phone Number
917-287-4154
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 19, 2012
Last Update Date
November 27, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
324 W Clinton Ave
Bergenfield, NJ 07621-1903
Zip
07621-1903
Phone Number
917-287-4154
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
324 W Clinton Ave
Bergenfield, NJ 07621-1903
City
Bergenfield
State
NJ
Zip
07621-1903
Phone Number
917-287-4154

License Information

License Number (1)
25MP00395900
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
015558
License State (2)
NY
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 Stanley John, PHYSICIAN ASSISTANT?

The NPI number of Stanley John, PHYSICIAN ASSISTANT is 1942567524. It was assigned on April 19, 2012 and is currently active in the NPPES registry.

What is the specialty of Stanley John, PHYSICIAN ASSISTANT?

Stanley John, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00395900.

Where does Stanley John, PHYSICIAN ASSISTANT practice?

The practice location is 324 W Clinton Ave, Bergenfield, NJ 07621-1903. The office can be reached at 917-287-4154 (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 1942567524 directly on the NPPES registry website.

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