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Contact Information

JESSICA ACQUAVIVA, PA-C
200 WHITE RD
SUITE 115
LITTLE SILVER, NJ07739-1150
 Phone: 732-747-1925
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JESSICA ACQUAVIVA · (Female)

NPI # 1679020556
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/08/2016
Last updated 04/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00411100
Hospital affiliation(s)
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
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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