Provider Demographics
NPI:1154042794
Name:SEAVEY, PAIGE KYLIE (PA-C)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:KYLIE
Last Name:SEAVEY
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:271 GROVE AVE STE E
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-1730
Mailing Address - Country:US
Mailing Address - Phone:973-559-3700
Mailing Address - Fax:833-484-1686
Practice Address - Street 1:477 ROUTE 10 STE 205
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-2144
Practice Address - Country:US
Practice Address - Phone:973-560-9500
Practice Address - Fax:833-493-1248
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00705300363AM0700X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical