Provider Demographics
NPI:1447407754
Name:GELNAW, CYNTHIA MONICA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MONICA
Last Name:GELNAW
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:MONICA
Other - Last Name:CHUDZIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3548 ROUTE 9 STE 2
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2963
Mailing Address - Country:US
Mailing Address - Phone:732-679-6300
Mailing Address - Fax:732-679-9566
Practice Address - Street 1:780 RTE 37 W STE 100
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5062
Practice Address - Country:US
Practice Address - Phone:732-679-6300
Practice Address - Fax:732-679-9566
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053277363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ167293C2HMedicare PIN
NJOTH000Medicare UPIN