Bentivegna, Mary

Bentivegna, Mary is an individual health care provider with primary practice located at 1 Clara Maass Dr Clara Maass Medical Center, Belleville NJ 07109-3550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bentivegna, Mary can be contacted via phone (973) 450-2000.

Contact Information

Primary practice address
1 Clara Maass Dr Clara Maass Medical Center Belleville NJ 07109-3550
Phone: (973) 450-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00036000 New Jersey

Profile Details

NPI number 1326061524
LBN Legal business name Bentivegna, Mary
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326061524 NPPES
New Jersey Other 1022627 NCCPA

Popular Providers