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NPI Code Detail

MEDICARE: KATE LYNNE FONTES PA

MEDICARE: KATE LYNNE FONTES PA
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 Assistant25MP00966500NJ

General Provider Information

NPI Number : 1164395414
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE LYNNE FONTES PA
Provider Business Mailing Address
First Line : 175 BELGROVE DR
Second Line :
City : KEARNY
State : NJ
Zip : 07032-1507
Country : US
Telephone Number : 201-216-9500
Fax Number :
Provider Business Practice Location Address
First Line : 300 2ND AVE
Second Line :
City : LONG BRANCH
State : NJ
Zip : 07740-6395
Country : US
Telephone Number : 732-222-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2025
Last Update Date : 02/04/2026

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Directions to “ KATE LYNNE FONTES PA” Practice Location

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