Provider Demographics
NPI:1992762256
Name:REY, HINAKUMARI DAVID (PA-C)
Entity type:Individual
Prefix:MRS
First Name:HINAKUMARI
Middle Name:DAVID
Last Name:REY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:358 RIDGEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1446
Mailing Address - Country:US
Mailing Address - Phone:973-980-9995
Mailing Address - Fax:
Practice Address - Street 1:300 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2819
Practice Address - Country:US
Practice Address - Phone:973-266-2982
Practice Address - Fax:973-266-8490
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00041000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant