Jason R Jannicelli in Somerville - Physician Assistant
Jason R Jannicelli - NPI 1225095607
Jason R Jannicelli is a Physician Assistant in Somerville, New Jersey. Jason R Jannicelli practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason R Jannicelli is 1225095607. The last update date is 2016-10-18.
Jason R Jannicelli's current location address is 110 Rehill Ave # 08876, Somerville, New Jersey. You can contact this provider via phone number 9086852200. The mailing address for Jason R Jannicelli is 110 Rehill Ave # 08876, Somerville, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason R Jannicelli |
|---|---|
| Address | 110 Rehill Ave # 08876, Somerville, New Jersey |
| Phone Number | 9086852200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS PAC |
NPI Number Detail
| NPI Number | 1225095607 |
|---|---|
| Provider Enumeration Date | 2006-04-28 |
| Last Updated Date | 2016-10-18 |
Provider Mailing Address Detail
| Address | 110 Rehill Ave # 08876 |
|---|---|
| City | Somerville |
| State | New Jersey (NJ) |
| Post Code | 88762519 |
| Phone Number | 9086852200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 25MP00151700 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Jason R Jannicelli by the Centers for Medicare & Medicaid Services?
The Jason R Jannicelli has been issued the NPI (National Provider Identifier) 1225095607 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jason R Jannicelli's physical address?
The Jason R Jannicelli is physically located at 110 Rehill Ave # 08876, in the city of Somerville, NJ, with the postal code 88762519.
What is Jason R Jannicelli's area of expertise and its corresponding taxonomy classification?
The Jason R Jannicelli's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jason R Jannicelli receive its 1225095607 assignment from the Centers for Medicare & Medicaid Services?
The Jason R Jannicelli was assigned its 1225095607 by the Centers for Medicare & Medicaid Services on 2006-04-28.
As of what date were the details related to Jason R Jannicelli most recently updated or revised?
The information pertaining to Jason R Jannicelli, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY