Provider Demographics
NPI:1720348295
Name:ORTEGA, FELIX YOVANNY (PA)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:YOVANNY
Last Name:ORTEGA
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Gender:
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:474 AMBOY AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-3145
Mailing Address - Country:US
Mailing Address - Phone:848-348-9812
Mailing Address - Fax:732-358-0805
Practice Address - Street 1:474 AMBOY AVE FL 1
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-3145
Practice Address - Country:US
Practice Address - Phone:848-348-9812
Practice Address - Fax:732-358-0805
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2025-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY015556363AM0700X
NJ25MP00320400363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical