Pamela Anderson, is a
Registered Nurse - General Practice physician based in Newark, New Jersey. Pamela Anderson is licensed to practice in New Jersey (license number 26NN08240300) and her current practice location is 354 Doremus Ave, Newark, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 274-6816.
NPI number for Pamela Anderson is 1013600162 and her current mailing address is 354 Doremus Ave, Newark, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013600162.
Physician's Profile
Full Name | Pamela Anderson |
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Gender | Female |
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Speciality | Registered Nurse - General Practice |
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Location | 354 Doremus Ave, Newark, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013600162
- Provider Enumeration Date: 06/02/2023
- Last Update Date: 06/02/2023
Medical Identifiers
Medical identifiers for Pamela Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013600162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 26NN08240300 (New Jersey) | Secondary |
163WG0000X | Registered Nurse - General Practice | 26NN08240300 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pamela Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Pamela Anderson, 354 Doremus Ave, Newark, NJ 07105-4882 Ph: (973) 274-6816 | Pamela Anderson, 354 Doremus Ave, Newark, NJ 07105-4882 Ph: (973) 274-6816 |
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