Provider Demographics
NPI:1912185729
Name:AKERMAN, ESTER RAIZY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ESTER
Middle Name:RAIZY
Last Name:AKERMAN
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 1:539 MARC DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5113
Mailing Address - Country:US
Mailing Address - Phone:732-730-7333
Mailing Address - Fax:732-730-7332
Practice Address - Street 1:539 MARC DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5113
Practice Address - Country:US
Practice Address - Phone:732-730-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00171200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant