NPI 1831373083 · live from the CMS NPI Registry
Farrah Altuve, PA C
Physician Assistant, Surgical in Ridgewood, NJ. National Provider Identifier 1831373083, active.
NPI record
| NPI | 1831373083 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 85 S Maple Ave, Ridgewood, NJ 07450 |
| Practice phone | 201-445-2830 |
| Mailing address | 800 Spruce St, 1 Cathcart, Philadelphia, PA 19107 |
| Enumerated | December 24, 2007 |
| Last updated | October 25, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | 25MP00201200 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.