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

JUSTIN DEVARAJ, PA

Active Sole Proprietor

JUSTIN DEVARAJ, PA is a Physician Assistant healthcare provider located in NEW YORK, New York. NPI 1275361420 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NEW YORK, NY

Registration Details

NPI Number
1275361420
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2024 (2.0497745435592 yrs)
Last Updated
Jul 22, 2024
Sole Proprietor
Yes

Practice Information

Address
5141 BROADWAY
NEW YORK, NY, 100341159
Browse NY providers · Browse ZIP 10034
Phone
2129324000
Primary Specialty
Physician Assistant
363A00000X

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ROCCO MICHAEL RACANELLI PA 1073509550
MS. THERESA LEE RAYMOND PA-C 1518954635
MRS. YOLANDE THOMAS-ELLIS PA-C 1932197373
DENISE L WINICK PAC 1255320073
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.