Mr John Edward Avery, PA-C is a
Physician Assistant based in Glen Rock, New Jersey. Mr John Edward Avery is licensed to practice in New Jersey (license number MP00475) and his current practice location is
65 Concord Ave, Glen Rock, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 612-0907.
NPI number for Mr John Edward Avery is 1043393416 and his current mailing address is 65 Concord Ave, Glen Rock, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043393416.
Provider's Profile
| Full Name | Mr John Edward Avery |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 65 Concord Ave, Glen Rock, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043393416
- Provider Enumeration Date: 10/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr John Edward Avery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043393416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | MP00475 (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. Mr John Edward Avery 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 |
|---|
Mr John Edward Avery, PA-C
65 Concord Ave,
Glen Rock, NJ 07452-1602
Ph: (201) 612-0907 | Mr John Edward Avery, PA-C
65 Concord Ave,
Glen Rock, NJ 07452-1602
Ph: (201) 612-0907 |
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