NPI 1891424511 · live from the CMS NPI Registry
Julia Agresti, PA
Physician Assistant, Surgical in Ridgewood, NJ. National Provider Identifier 1891424511, active.
NPI record
| NPI | 1891424511 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 20 Wilsey Sq, Ridgewood, NJ 07450 |
| Practice phone | 201-449-1000 |
| Mailing address | 21 Mckinley St, Lincoln Park, NJ 07035 |
| Enumerated | June 8, 2022 |
| Last updated | June 8, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.