Active NPIIndividual provider

Kristina M Dauernheim, PA-C

Physician Assistant, Surgical in Neptune, New Jersey

NPI Number1942826458
Practice location
19 Davis Ave, 4TH Floor Hope Tower, Neptune, NJ 07753
Fax
—
Last updated
October 9, 2020

Kristina Marie Dauernheim is a Physician Assistant, Surgical based in Neptune, NJ. Kristina Marie Dauernheim practices in Neptune, NJ and has the professional credentials of PA-C. The NPI Number for Kristina Marie Dauernheim is 1942826458 and holds a License No. 25MP00582200 (NJ). The current practice location address for Kristina Marie Dauernheim is 19 Davis Ave, 4TH Floor Hope Tower, Neptune, NJ 07753 and can be reached out via phone at 732-974-0003.

Provider Profile Details

NPI Number
1942826458
Provider Name
Kristina Marie Dauernheim
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
19 Davis Ave, 4TH Floor Hope Tower, Neptune, NJ 07753
Phone Number
732-974-0003
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
June 20, 2020
Last Update Date
October 9, 2020
Certification Date
October 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Davis Ave
4TH Floor Hope Tower
Neptune, NJ 07753
Zip
07753
Phone Number
732-974-0003
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
19 Davis Ave
4TH Floor Hope Tower
Neptune, NJ 07753
City
Neptune
State
NJ
Zip
07753

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00582200
License State (2)
NJ
Taxonomy (2)
Surgery · 208600000X
License Number (3)
25MP00582200
License State (3)
NJ
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X · 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 Kristina M Dauernheim, PA-C?

The NPI number of Kristina M Dauernheim, PA-C is 1942826458. It was assigned on June 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Kristina M Dauernheim, PA-C?

Kristina M Dauernheim, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00582200.

Where does Kristina M Dauernheim, PA-C practice?

The practice location is 19 Davis Ave, 4TH Floor Hope Tower, Neptune, NJ 07753. The office can be reached at 732-974-0003 (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 1942826458 directly on the NPPES registry website.

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