NPI 1629539010 · live from the CMS NPI Registry
Eta Tziporah Alter, PA-C
Physician Assistant in Newark, NJ. National Provider Identifier 1629539010, active.
NPI record
| NPI | 1629539010 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 201 Lyons Ave, Newark, NJ 07112 |
| Practice phone | 973-926-7000 |
| Mailing address | 39 Jumping Brook Dr, Lakewood, NJ 08701 |
| Enumerated | March 27, 2019 |
| Last updated | March 27, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 25MP00509800 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.