Provider Demographics
NPI:1720882020
Name:HYMAN, CHRYSTEL (PA)
Entity type:Individual
Prefix:
First Name:CHRYSTEL
Middle Name:
Last Name:HYMAN
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:CHRYSTEL
Other - Middle Name:
Other - Last Name:HYMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA
Mailing Address - Street 1:1625 KING CT
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1729
Mailing Address - Country:US
Mailing Address - Phone:908-422-5589
Mailing Address - Fax:
Practice Address - Street 1:225 WILLIAMSON ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3625
Practice Address - Country:US
Practice Address - Phone:908-422-5589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant