NPI 1003500778 · live from the CMS NPI Registry
Basil Adams, PA
Physician Assistant in Rahway, NJ. National Provider Identifier 1003500778, active.
NPI record
| NPI | 1003500778 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 865 Stone St, Rahway, NJ 07065 |
| Practice phone | 732-381-4200 |
| Mailing address | 78 Beane Ln, Newington, NH 03801 |
| Enumerated | June 6, 2023 |
| Last updated | July 8, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 25MP00794000 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.