Individual
JESSICA A. TAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
530 LAKEHURST RD., STE 101, TOMS RIVER, NJ 08755-8063
(732) 349-8454
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00467100
NJ
363AM0700X
Medical Physician Assistant
—
GA
363AS0400X
Surgical Physician Assistant
—
GA
Other
Enumeration date
03/07/2018
Last updated
07/29/2025
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