Healthcare Provider Details
I. General information
NPI: 1760075451
Provider Name (Legal Business Name): MICHAEL PRING PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/15/2021
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
94 OLD SHORT HILLS RD STE 1
LIVINGSTON NJ
07039-5668
US
IV. Provider business mailing address
568 ROUTE 10
WHIPPANY NJ
07981-1516
US
V. Phone/Fax
- Phone: 973-322-5000
- Fax:
- Phone: 973-535-8355
- Fax: 973-535-8353
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 7177 |
| License Number State | CT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | 7177 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: