Active NPIIndividual provider

Carla Y Grovatt, PA-C

Physician Assistant in Medford, New Jersey

NPI Number1952330524
Practice location
131 Route 70 W, Ste 100, Medford, NJ 08055
Fax
609-267-9457
Last updated
July 9, 2018

Carla Y. Grovatt is a Physician Assistant based in Medford, NJ. Carla Y. Grovatt practices in Medford, NJ and has the professional credentials of PA-C. The NPI Number for Carla Y. Grovatt is 1952330524 and holds a License No. 25MP00000700 (NJ). The current practice location address for Carla Y. Grovatt is 131 Route 70 W, Ste 100, Medford, NJ 08055 and can be reached out via phone at 609-267-9400 and via fax at 609-267-9457.

Provider Profile Details

NPI Number
1952330524
Provider Name
Carla Y. Grovatt
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
131 Route 70 W, Ste 100, Medford, NJ 08055
Phone Number
609-267-9400
Fax Number
609-267-9457
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 3, 2006
Last Update Date
July 9, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Route 70 W
Ste 100
Medford, NJ 08055
Zip
08055
Phone Number
609-267-9400
Fax Number
609-267-9457
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
4 Eves Dr Ste A100
Marlton, NJ 08053-3126
City
Marlton
State
NJ
Zip
08053-3126
Phone Number
609-267-9400
Fax Number
609-267-9457

License Information

License Number
25MP00000700
License State
NJ
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 Carla Y Grovatt, PA-C?

The NPI number of Carla Y Grovatt, PA-C is 1952330524. It was assigned on July 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Carla Y Grovatt, PA-C?

Carla Y Grovatt, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00000700.

Where does Carla Y Grovatt, PA-C practice?

The practice location is 131 Route 70 W, Ste 100, Medford, NJ 08055. The office can be reached at 609-267-9400 (phone) or 609-267-9457 (fax).

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 1952330524 directly on the NPPES registry website.

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