Physician Assistant
ETA ALTER PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629539010 · enumerated 2019-03-27 · record updated 2019-03-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 39 JUMPING BROOK DR, LAKEWOOD, NJ, 08701-3821 (773) 595-6453 Google Maps Apple Maps OpenStreetMap
- Practice location 201 LYONS AVE, NEWARK, NJ, 07112-2027 (973) 926-7000 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 25MP00509800 NJ
In this directory
Locations and evidence
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Practice location
NEWARK, NJ, 071122027
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.