Provider Demographics
NPI:1790135408
Name:HUGHES, ARIELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1967 HIGHWAY 34 BLDG C
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-9736
Mailing Address - Country:US
Mailing Address - Phone:732-282-0002
Mailing Address - Fax:732-282-1522
Practice Address - Street 1:2333 HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736
Practice Address - Country:US
Practice Address - Phone:732-282-0002
Practice Address - Fax:732-282-1522
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1234OtherOFFICE