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

MAGDIEL LENIN FUENTES FUNEZ, PA-C

Active

MAGDIEL LENIN FUENTES FUNEZ, PA-C is a Physician Assistant healthcare provider located in ENGLEWOOD, New Jersey. NPI 1467972612 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ENGLEWOOD, NJ

Registration Details

NPI Number
1467972612
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2017 (9.1384326270981 yrs)
Last Updated
Jan 3, 2025
Licenses
3083 (SC)
25MP00577200 (NJ)
PA54487 (CA)
25MP00577200 (NJ)
PA54487 (CA)

Practice Information

Address
350 ENGLE ST FL 5
ENGLEWOOD, NJ, 076311808
Browse NJ providers · Browse ZIP 07631
Phone
2018943636
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Physician Assistant Providers in ENGLEWOOD, NJ

Name Credential NPI
JULIA A ELIZONDO PA 1295771335
EDWIN SALAMANCA PA 1134165269
JUMS I BABATUNDE P.A. 1710027586
PARTHENA KALLOPOULOS PHYSICIAN ASSISTANT 1902948375
MS. HEATHER MARIE MOHRMAN P.A.-C 1548480452
MR. BARRY S HUGHES PA 1841405123
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.