MEDICARE: MS. TAMMY T SCHOLL 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
1	363AM0700X	Medical Physician Assistant	25MP00388000	NJ

General Provider Information

NPI Number	:	1225200389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMMY T SCHOLL PA-C

Provider Business Mailing Address
First Line	:	262 SPRING ST
Second Line	:
City	:	NEWTON
State	:	NJ
Zip	:	07860-2137
Country	:	US
Telephone Number	:	908-914-7886
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 PARK WAY
Second Line	:
City	:	UPPER SADDLE RIVER
State	:	NJ
Zip	:	07458-2345
Country	:	US
Telephone Number	:	866-483-9729
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2008
Last Update Date	:	10/31/2025

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