Provider Demographics
NPI:1356025894
Name:FOLEY, MEGAN A (PA-C)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:A
Last Name:FOLEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1144 E RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3941
Mailing Address - Country:US
Mailing Address - Phone:201-336-0188
Mailing Address - Fax:201-336-0141
Practice Address - Street 1:7650 RIVER RD STE 120
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-6527
Practice Address - Country:US
Practice Address - Phone:201-710-2768
Practice Address - Fax:201-710-2769
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2025-12-18
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00788400363A00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty