Provider Demographics
NPI:1982003018
Name:BALINT, EMILY AMANDA (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:AMANDA
Last Name:BALINT
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 1:63 LYNN CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2761
Mailing Address - Country:US
Mailing Address - Phone:908-705-6683
Mailing Address - Fax:
Practice Address - Street 1:19 DAVIS AVE FL 9
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4488
Practice Address - Country:US
Practice Address - Phone:732-897-3640
Practice Address - Fax:732-897-3639
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00342900363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical