Gary Alan Falcetano, PA-C
Individual provider Active NPI Physician Assistant · Stockton, NJ
NPI 1972586642 · NPPES record last updated Oct 1, 2012
Key facts
- NPI
- 1972586642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00044300 (NJ)
- Practice address
- 4 Edna Horn Dr
Stockton, NJ 08559-1401 - Phone
- (609) 773-0559
- NPI assigned
- Nov 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3121 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Associates of New Jersey PA | Past |
Accepting new patients | |
| Early Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00044300 | NJ | Yes |
Addresses
Primary practice location
4 Edna Horn Dr
Stockton, NJ 08559-1401
Mailing address
4 Edna Horn Dr
Stockton, NJ 08559-1401
Phone (609) 773-0559
Other providers in Stockton, NJ
- Brian Aloyisus Boyle
- Sheila E Buchbinder
- Circles of Communication LLC
- Peter Alan Crist
- Paige H Digiambattista
- Stuart H Freedenfeld
- Douglas Mitchell Graiver
- Andrea Gurba
- Arden Hawes
- David Herbel
All providers in Stockton, 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 Oct 1, 2012. 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.