Allison Conklin, PA
Individual provider Active NPI Medical Physician Assistant · Linden, NJ
NPI 1013451491 · NPPES record last updated Dec 5, 2016
Key facts
- NPI
- 1013451491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 25MP00416400 (NJ)
- Practice address
- 328 W Saint Georges Ave
Linden, NJ 07036-5638 - Phone
- (908) 925-7519
- Fax
- (908) 925-2842
- NPI assigned
- Dec 5, 2016
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00416400 | NJ | Yes |
Addresses
Primary practice location
328 W Saint Georges Ave
Linden, NJ 07036-5638
Mailing address
328 W Saint Georges Ave
Linden, NJ 07036-5638
Phone (908) 925-7519
Other providers in Linden, NJ
- Community Access Unlimitd Inc
- Community Access Unlimitd Inc
- Community Access Unlimited, Inc
- Community Access Unlimited, Inc.
- Comprehensive Medical Services of New Jersey, LLC
- Connect Rehabilitation Inc .
- Cornerstone Counseling
- Pamela Coutain
- Noreen Cruz
- CT Health Care Services
All providers in Linden, NJ · Medical 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 Dec 5, 2016. 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.