Provider Demographics
NPI:1801833124
Name:FARRUGIA, ERIN (PA)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:FARRUGIA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 ROUTE 34 STE 201
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-2434
Mailing Address - Country:US
Mailing Address - Phone:732-487-3636
Mailing Address - Fax:732-487-3635
Practice Address - Street 1:340 ROUTE 34 STE 201
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-2434
Practice Address - Country:US
Practice Address - Phone:732-487-3636
Practice Address - Fax:732-487-3635
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00357000363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ10975Medicare UPIN
NY5505L71801Medicare PIN