=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487698627
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES CONTILIANO PA
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2006
-----------------------------------------------------
Last Update Date | 06/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 185 ROSEBERRY ST
-----------------------------------------------------
City | PHILLIPSBURG
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08865-1690
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-847-6767
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 747
-----------------------------------------------------
City | LIVINGSTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07039-0747
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-740-0607
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | 25MP00039200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | MA062830
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------