HAVEN DONOVAN NPI 1477901817

NPI Information

  • NPI: 1477901817
  • Provider Name: HAVEN DONOVAN
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 DIAMOND HILL RD
    BERKELEY HEIGHTS, NJ
    ZIP 07922
  • Phone: (908) 277-8704

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NPI Details

Haven Donovan is a surgical physician assistant in Berkeley Heights, NJ. Haven Donovan NPI is 1477901817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ
ZIP 07922-104
Phone: (908) 277-8704

The NPI 1477901817 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2016 and was last updated on 11/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerNo
2363A00000XPhysician Assistant25MP00973500NEW JERSEYNo
3363AS0400XPhysician AssistantSurgical25MP00973500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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