Individual
MRS. KERIANN MICHELLE SCAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
195 LITTLE ALBANY ST, NEW BRUNSWICK, NJ 08901-1914
(732) 235-4023
(732) 235-3299
Mailing address
195 LITTLE ALBANY ST, NEW BRUNSWICK, NJ 08901-1914
(732) 235-4023
(732) 235-3299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015742
NY
363A00000X
Physician Assistant
25MP00373300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157421
PHYSICIAN ASSISTANT LICENSE
NY
01
—
25MP00373300
PHYSICIAN ASSISTANT LICENSE
NJ
01
—
A00379400
NJ CDS LICENSE
—
Enumeration date
07/25/2012
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us