Healthcare Provider Details

I. General information

NPI: 1518661636
Provider Name (Legal Business Name): ASHLEY PAUL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 COLUMBIA TPKE STE 106
FLORHAM PARK NJ
07932-1212
US

IV. Provider business mailing address

325 COLUMBIA TPKE STE 106
FLORHAM PARK NJ
07932-1212
US

V. Phone/Fax

Practice location:
  • Phone: 973-822-2000
  • Fax:
Mailing address:
  • Phone: 973-822-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA13136500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: