John Edward Avery, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MP00475 Issued in NJ

Practice address

65 Concord Ave
Glen Rock, NJ 07452-1602

Phone

(201) 612-0907

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Medical Consultants of South Jersey LLC

  • Hospitalist Physician
  • East Orange, NJ
  • NPI 1659523264
  NPD (past)
• Jema Physicians' Services, L.L.C.

  • Emergency Medicine Physician
  • Passaic, NJ
  • NPI 1003861675
  NPD (past)
• Teaneck Emergency Physicians PA

  • Emergency Medicine Physician
  • Teaneck, PA
  • NPI 1972569606
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043393416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CONCORD AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521602",
            "telephone_number": "201-612-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CONCORD AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521602",
            "telephone_number": "201-612-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "MP00475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Mae Anzilotti, OTR/L
• Aof Group LLC
• Apt Care LLC
• Nicole Ann Aquino
• Paul Artale, PT
• Virginia C Bailey, MSMFT
• Lisa Ann Barclay, D.M.D
• Gregory Baron, D.M.D.
• Melissa Lemaire Bauch-Murphy, D.C.
• Kevin Bauman, PT, DPT

• Physician Assistant in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.