NPI 1104227479 · live from the CMS NPI Registry
Brian Adames
Physician Assistant in Elizabeth, NJ. National Provider Identifier 1104227479, active.
NPI record
| NPI | 1104227479 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 624 Newark Ave, Elizabeth, NJ 07208 |
| Practice phone | 908-353-3626 |
| Mailing address | 404 N 16th St, Kenilworth, NJ 07033 |
| Enumerated | September 5, 2014 |
| Last updated | September 5, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 25MAp00341200 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.