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NPI Code Detail

MEDICARE: EMMA MCEVOY PA-C

MEDICARE: EMMA MCEVOY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant25MP00972600NJ

General Provider Information

NPI Number : 1023984721
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA MCEVOY PA-C
Provider Business Mailing Address
First Line : 8 MARC DR
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-2716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 2ND AVE
Second Line :
City : LONG BRANCH
State : NJ
Zip : 07740-6303
Country : US
Telephone Number : 732-222-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2025
Last Update Date : 01/15/2026

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Directions to “ EMMA MCEVOY PA-C” Practice Location

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