Carole A Stevenson, PA-C
Physician Assistant in Hackensack, New Jersey
1952692568- Practice location
- 30 Prospect Ave, Hackensack, NJ 07601-1914
- Phone
- 201-996-4614
- Fax
- —
- Last updated
- May 13, 2014
Carole Anne Burg Stevenson is a Physician Assistant based in Hackensack, NJ. Carole Anne Burg Stevenson practices in Hackensack, NJ and has the professional credentials of PA-C. The NPI Number for Carole Anne Burg Stevenson is 1952692568 and holds a License No. 25MP00255100 (NJ). The current practice location address for Carole Anne Burg Stevenson is 30 Prospect Ave, Hackensack, NJ 07601-1914 and can be reached out via phone at 201-996-4614.
Provider Profile Details
- NPI Number
- 1952692568
- Provider Name
- Carole Anne Burg Stevenson
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Prospect Ave, Hackensack, NJ 07601-1914
- Phone Number
- 201-996-4614
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Other Names
- -- Carole Anne Burg (Former Name)
- Provider Enumeration Date
- April 29, 2011
- Last Update Date
- May 13, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Prospect Ave
Hackensack, NJ 07601-1914 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-1914
- Phone Number
- 201-996-4614
Provider Business Mailing Address Details
- Address
- 9 Edgewater Pl
Edgewater, NJ 07020-1205 - City
- Edgewater
- State
- NJ
- Zip
- 07020-1205
- Phone Number
- 281-451-8380
License Information
- License Number (1)
- 25MP00255100
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- PA07801
- License State (2)
- TX
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 014811-1
- License State (3)
- NY
- Taxonomy (3)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Carole A Stevenson, PA-C?
The NPI number of Carole A Stevenson, PA-C is 1952692568. It was assigned on April 29, 2011 and is currently active in the NPPES registry.
What is the specialty of Carole A Stevenson, PA-C?
Carole A Stevenson, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00255100.
Where does Carole A Stevenson, PA-C practice?
The practice location is 30 Prospect Ave, Hackensack, NJ 07601-1914. The office can be reached at 201-996-4614 (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 1952692568 directly on the NPPES registry website.