ALISJA L. HARTMAN PA NPI 1407052764

NPI Information

NPI: 1407052764
Provider Name: ALISJA L. HARTMAN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
J2 BRIER HILL CT
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (732) 390-7750
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Alisja L. Hartman, PA is a medical physician assistant in East Brunswick, NJ. Alisja L. Hartman, PA NPI is 1407052764. 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:

J2 BRIER HILL CT
EAST BRUNSWICK, NJ
ZIP 08816-340
Phone: (732) 390-7750
Fax: (732) 390-4628

The NPI 1407052764 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 6/25/2007 and was last updated on 7/21/2022.

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	25MP00148900	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	1801850243	OTHER	NEW JERSEY	RCCA GROUP NPI#
2	25MP00148900	OTHER	NEW JERSEY	LICENSE
3	699873	OTHER	NEW JERSEY	RCCA GROUP MEDICARE #
4	223141761	OTHER	NEW JERSEY	RCCA TAX ID#
5	5426600	MEDICAID	NEW JERSEY

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: 5/5/2024

NPI Synchronization or Removal

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