Healthcare Provider Details

I. General information

NPI: 1528434388
Provider Name (Legal Business Name): KARAN PAL PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 PARK AVE
FLORHAM PARK NJ
07932-1049
US

IV. Provider business mailing address

140 PARK AVE
FLORHAM PARK NJ
07932-1049
US

V. Phone/Fax

Practice location:
  • Phone: 973-718-5800
  • Fax:
Mailing address:
  • Phone: 973-718-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number018887
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number25MP00371800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: