James E. Patrick, PA-C

Surgical Physician Assistant · Hackensack, NJ

Individual Active NPI

NPI number 1689663528

Practice location

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone
(551) 996-5430

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NPI record

NPI
1689663528
Entity type
Individual (Type 1)
Enumeration date
October 13, 2005
Last updated
June 7, 2022
Certified
June 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X 25MP00691400 NJ
Surgical Physician Assistant 363AS0400X PA9101332 FL

Mailing address

32507 Hawks Lake Ln
Sorrento, FL 32776-7738

About James Patrick

James E. Patrick, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 30 Prospect Ave, Hackensack, NJ 07601-1915. The NPI number 1689663528 was assigned on October 13, 2005 and the record was last updated on June 7, 2022.

James Patrick lists 2 licenses in the registry: #25MP00691400 (NJ) for Surgical Physician Assistant; #PA9101332 (FL) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James E. Patrick, PA-C?

The NPI number is 1689663528.

What is the phone number of James Patrick?

The phone number listed for the practice location is (551) 996-5430.

Where is James Patrick located?

30 Prospect Ave, Hackensack, NJ 07601-1915.

What is the taxonomy code for James Patrick?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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