Provider Demographics
NPI:1043959265
Name:SHAHBAZ, HUNTER LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:LYNN
Last Name:SHAHBAZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:107 SUBURBAN RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3822
Mailing Address - Country:US
Mailing Address - Phone:908-910-0932
Mailing Address - Fax:
Practice Address - Street 1:1820 STATE ROUTE 33 STE 4B
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4860
Practice Address - Country:US
Practice Address - Phone:732-776-8500
Practice Address - Fax:732-776-7946
Is Sole Proprietor?:No
Enumeration Date:2022-06-04
Last Update Date:2025-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00722000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant