Provider Demographics
NPI:1124316773
Name:AMIN, SANDEEP J (PA-C)
Entity type:Individual
Prefix:MR
First Name:SANDEEP
Middle Name:J
Last Name:AMIN
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1945 ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4859
Mailing Address - Country:US
Mailing Address - Phone:732-776-4949
Mailing Address - Fax:732-776-4509
Practice Address - Street 1:40 FULD STREET
Practice Address - Street 2:SUITE 303
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-5247
Practice Address - Country:US
Practice Address - Phone:609-396-2600
Practice Address - Fax:609-396-3600
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2020-11-25
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00259200363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical