National Provider Identifier Database

KEVIN S AVICHAL, PA-C – NPI #1174040539
Medical


Contact Information

KEVIN S AVICHAL, PA-C
2317 CENTER ISLAND
ROUTE 22
UNION, NJ07083
Phone: 201-354-1951
Fax: 201-354-1952
Website:
Specialty Taxonomy Code
* Medical 363AM0700X
Orthopaedic Surgery 207X00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for KEVIN S AVICHAL

NPI Number 1174040539
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/26/2017
Last updated 05/02/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MP00445700
  • NY License #: 021217
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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