NPI 1568819902 · live from the CMS NPI Registry
Krista Renee Bendavid, PA-C
Physician Assistant in Neptune, NJ. National Provider Identifier 1568819902, active.
NPI record
| NPI | 1568819902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1945 State Route 33 Fl 4, Neptune, NJ 07753 |
| Practice phone | 732-776-4949 |
| Mailing address | 75 Francis St, Boston, MA 02115 |
| Enumerated | May 16, 2016 |
| Last updated | October 24, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 3158 (OK) |
| Physician Assistant primary | 363A00000X | 25MP00968600 (NJ) |
| Physician Assistant | 363A00000X | 5871 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.