DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADISON RILEY BENNERT

Active Sole Proprietor

MADISON RILEY BENNERT is a Physician Assistant healthcare provider located in FORKED RIVER, New Jersey. NPI 1023847704 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORKED RIVER, NJ

Registration Details

NPI Number
1023847704
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2024 (2.075971399036 yrs)
Last Updated
Mar 21, 2025
License
25MP00877800 (NJ)
Sole Proprietor
Yes

Practice Information

Address
730 LACEY RD STE 8
FORKED RIVER, NJ, 087311300
Browse NJ providers · Browse ZIP 08731
Phone
7329776240
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FORKED RIVER, NJ

Name Credential NPI
ANNALIESE ELIZABETH GILBERT PA-C 1801570346
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.