Provider Demographics
NPI:1619463627
Name:MAYER, ERIKA LYNN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:LYNN
Last Name:MAYER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:LYNN
Other - Last Name:DONOHUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:240 WILLIAMSON ST STE 204
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-3671
Mailing Address - Country:US
Mailing Address - Phone:908-355-8877
Mailing Address - Fax:908-355-0017
Practice Address - Street 1:240 WILLIAMSON ST STE 204
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3671
Practice Address - Country:US
Practice Address - Phone:908-355-8877
Practice Address - Fax:908-355-0017
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00477700363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant