IndividualActive
Amanda Fairbairn, PA-C
NPI 1225868185 · Physician Assistant · East Orange, NJ
Provider details
- NPI number
- 1225868185
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00876100 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
300 Central Ave
East Orange, NJ 07018-2819
Phone: (973) 672-8400
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 281
Bushkill, PA 18324-0281
Registry dates
- Enumerated
- 2024-08-06
- Last updated
- 2024-08-06
- Certified
- 2024-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.