Healthcare Provider Details

I. General information

NPI: 1760342828
Provider Name (Legal Business Name): JAMIE NAVARRO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SAINT GEORGES AVE
RAHWAY NJ
07065-2764
US

IV. Provider business mailing address

16 KNIGHTSBRIDGE PL
JACKSON NJ
08527-1272
US

V. Phone/Fax

Practice location:
  • Phone: 732-567-7858
  • Fax:
Mailing address:
  • Phone: 732-567-7858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00976000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: