Brian Bechtold
Individual provider Active NPI Physician Assistant · Edgewater, NJ
NPI 1003882598 · NPPES record last updated Apr 15, 2008
Key facts
- NPI
- 1003882598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00144200 (NJ)
- Practice address
- 103 River Rd
Edgewater, NJ 07020-1010 - Phone
- (201) 941-8100
- Fax
- (201) 941-2899
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- brian.bechtold.2@15902.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00144200 | NJ | Yes |
Addresses
Primary practice location
103 River Rd
Edgewater, NJ 07020-1010
Mailing address
103 River Rd
Edgewater, NJ 07020-1010
Phone (201) 941-8100
Other providers in Edgewater, NJ
- Damilola Motunrayo Babalola
- Vanessa Baggio
- Baker Pediatrics LLC
- Yaron Bareket
- Beam Dental Edgewater, PC
- Justin Behnke
- Areej Belal
- Belight Eyecare LLC
- Gregory Belok
- Shweta Bhesania
All providers in Edgewater, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.