Healthcare Provider Details

I. General information

NPI: 1194673095
Provider Name (Legal Business Name): IRYNA HAUSER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W PARKWAY STE 10
POMPTON PLAINS NJ
07444-1060
US

IV. Provider business mailing address

230 W PARKWAY STE 10
POMPTON PLAINS NJ
07444-1060
US

V. Phone/Fax

Practice location:
  • Phone: 973-835-0800
  • Fax:
Mailing address:
  • Phone: 973-835-0800
  • Fax: 973-358-4562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: