MEDICARE: ALEXIS SAYLA RAMCHARITAR PHYSICIAN ASSISTANT

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	363A00000X	Physician Assistant	25MP00990400	NJ

General Provider Information

NPI Number	:	1518821412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS SAYLA RAMCHARITAR PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	757 US HIGHWAY 202/206 STE 104
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-1763
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 US-202
Second Line	:	SUITE 104
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807
Country	:	US
Telephone Number	:	908-450-7002
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	06/20/2026

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