JESSICA ACQUAVIVA


Address: 200 White Rd, Suite 115, Little Silver, NJ 07739-1150
Phone: 7327471925

JESSICA ACQUAVIVA (NPI# 1679020556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679020556
Entity Type Individual
Full Name JESSICA ACQUAVIVA
Credential PA-C
Practice Address 200 White Rd
Suite 115
Little Silver
NJ 07739-1150
Mailing Address 1500 Saint Georges Ave
Avenel
NJ 07001-1000
Practice Telephone 7327471925
Mailing Telephone 7325740742
Mailing Fax Number 7325740142
Enumeration Date 2016-09-08
Last Update Date 2016-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 WHITE RD
SUITE 115
City LITTLE SILVER
State NJ
Zip Code 07739-1150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710976519 William Nathan Kaufman Obstetrics & Gynecology 200 White Rd, Suite 105, Little Silver, NJ 07739-1150 2005-10-14
1922657303 Kathy V Cavallini Nurse Practitioner 200 White Rd, Little Silver, NJ 07739-1150 2019-09-08
1184034795 Abraham Joshua Weiss Marriage & Family Therapist 200 White Rd, Little Silver, NJ 07739-1150 2014-05-05
1053757914 Peter T Hetzler Md Facs LLC Specialist 200 White Rd, Suite 211, Little Silver, NJ 07739-1150 2013-05-20
1750639670 Rebecca Isaac Physician Assistant 200 White Rd, Little Silver, NJ 07739-1150 2012-08-27
1497003982 Regional Women's Health Group, LLC Obstetrics & Gynecology 200 White Rd, Ste 214, Little Silver, NJ 07739-1150 2012-08-15
1922307503 Sally Tryon Dmd PC Dentist 200 White Rd, Suite 113, Little Silver, NJ 07739-1150 2011-03-21
1700185444 Safari and Tryon General Partnership Dentist 200 White Rd, Suite 113, Little Silver, NJ 07739-1150 2011-03-21
1427280486 John F Connors Dpm & Associates, L.l.c Podiatrist 200 White Rd, Suite 108, Little Silver, NJ 07739-1150 2009-08-10
1750528501 Little Silver Family Wellness Chiropractor 200 White Rd, Suite 111, Little Silver, NJ 07739-1150 2009-01-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174048953 Sasha Michelle Ney Counselor 200 White Road Suite 208, Littler Silver, NJ 07739 2017-08-14
1952764839 Janet Cervalli Psychologist 34 Sycamore Avenue, Bldg 2, Suite 2e, Little Silver, NJ 07739 2016-03-30
1891131710 Guangzu Gao Radiology 200 White Rd Ste 115, Little Silver, NJ 07739 2013-05-18
1114363215 Jacqueline Diez Speech-Language Pathologist 53 Salem Lane, Little Silver, NJ 07739 2013-05-15
1073888582 Moshe Fund Social Worker 200 White Rd Ste 208, Little Silver, NJ 07739 2012-03-16
1689941114 Jonathon Corbacio Physical Therapist 160 White Rd Ste 104, Little Silver, NJ 07739 2011-11-29
1528369253 Frank Lopresti Marriage & Family Therapist 34 Sycamore Ave., Little Silver, NJ 07739 2010-11-11
1538353255 Richard Anthony Deblasi Specialist 640 Seven Bridges Rd, Little Silver, NJ 07739 2007-09-06
1639360340 Kristina Maria Kohler Clinic/Center 34 Sycamore Ave. Suite 2a, C/o 'a Womans Place', Little Silver, NJ 07739 2007-08-07
1972628642 Donna L Singer Physical Therapist 116 Oceanport Avenue, Little Silver, NJ 07739 2007-03-20
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578962056 Samantha Graney Physician Assistant 2 Tabor St, Little Silver, NJ 07739-1342 2014-08-20
1275184822 Meghan Louise Powner Physician Assistant 39 Sycamore Ave, Little Silver, NJ 07739-1208 2019-09-25
1750639670 Rebecca Isaac Physician Assistant 200 White Rd, Little Silver, NJ 07739-1150 2012-08-27
1154615540 Robyn D Mclaughlin Physician Assistant 180 White Rd, Suite 209, Little Silver, NJ 07739-1166 2011-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114528163 Paul J Lamartina Physician Assistant 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 2020-11-05
1912507641 Katherine Badecker Physician Assistant 30 Beams Ter, Manasquan, NJ 08736-2905 2020-10-30
1619577715 Erin Kathryn Schlegel Physician Assistant 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 2020-10-28
1235738006 Amanda Kwartemaah Osei Physician Assistant 2 Colonial Sq, Middletown, NJ 07748-3548 2020-10-22
1972102770 Vanesa Kodra Physician Assistant 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 2020-10-22
1366040750 Gregory Joseph Salamon Physician Assistant 221 Belaire Ter, Mount Laurel, NJ 08054-2703 2020-10-16
1861099145 Nathalie Jaqueline Rivera Physician Assistant 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 2020-10-08
1710584222 Shivam G. Patel Physician Assistant 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 2020-10-07
1932706579 Michelle Rose Maddatu Physician Assistant 742 Durham Ter, Brick, NJ 08724-1064 2020-10-07
1154928737 Jarna Patel Physician Assistant 11 Barley Ct, Plainsboro, NJ 08536-3100 2020-10-06
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Competitor

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City LITTLE SILVER
Zip Code 07739

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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