Provider Demographics
NPI:1356398895
Name:MAGASINY, JEFFREY L (CRNP, CEN)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:L
Last Name:MAGASINY
Suffix:
Gender:M
Credentials:CRNP, CEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BRYANT RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3644
Mailing Address - Country:US
Mailing Address - Phone:856-429-3673
Mailing Address - Fax:
Practice Address - Street 1:175 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-2038
Practice Address - Country:US
Practice Address - Phone:609-261-7045
Practice Address - Fax:609-914-6067
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00089100363L00000X
PATP006694B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily