Provider Demographics
NPI:1568985489
Name:JAGGI, PAYAL (RPA)
Entity Type:Individual
Prefix:MS
First Name:PAYAL
Middle Name:
Last Name:JAGGI
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 EMILY PL
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3431
Mailing Address - Country:US
Mailing Address - Phone:862-251-0517
Mailing Address - Fax:
Practice Address - Street 1:139 EMILY PL
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-3431
Practice Address - Country:US
Practice Address - Phone:862-251-0517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ15NJ1489243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ243U00000XOtherRPA 15NJ1489