Healthcare Provider Details

I. General information

NPI: 1962366989
Provider Name (Legal Business Name): ARIANA H. BROWN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MILLBURN AVE STE 206
MILLBURN NJ
07041-1933
US

IV. Provider business mailing address

90 MILLBURN AVE STE 206
MILLBURN NJ
07041-1933
US

V. Phone/Fax

Practice location:
  • Phone: 973-763-7546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP01030300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: