DIANE N ROSENTHAL PA NPI 1588703425

NPI Information

NPI: 1588703425
Provider Name: DIANE N ROSENTHAL, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1945 STATE ROUTE 33
ACKERMAN 4 TRAUMA
NEPTUNE, NJ
ZIP 07753
Phone: (732) 776-4949
Get Directions

Diane N Rosenthal, PA is a surgical physician assistant in Neptune, NJ. Diane N Rosenthal, PA NPI is 1588703425. 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:

1945 STATE ROUTE 33
ACKERMAN 4 TRAUMA
NEPTUNE, NJ
ZIP 07753-859
Phone: (732) 776-4949
Fax: (732) 776-4843

The NPI 1588703425 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/26/2014.

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
1	363AM0700X	Physician Assistant	Medical			No
2	363AS0400X	Physician Assistant	Surgical	25MP00122500	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	25MP00122500	OTHER	NEW JERSEY	STATE OF NJ LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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