MEDICARE: JENNIFER FEY 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1871051284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER FEY PA-C

Provider Business Mailing Address
First Line	:	853 MILL CREEK RD
Second Line	:
City	:	MANAHAWKIN
State	:	NJ
Zip	:	08050-4562
Country	:	US
Telephone Number	:	609-756-4667
Fax Number	:

Provider Business Practice Location Address
First Line	:	853 MILL CREEK RD
Second Line	:
City	:	MANAHAWKIN
State	:	NJ
Zip	:	08050-4562
Country	:	US
Telephone Number	:	609-756-4667
Fax Number	:

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

Provider Enumeration Date	:	03/05/2019
Last Update Date	:	12/15/2025

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