Individual provider · Type 1 NPI
Paula Fedorovsky
Medical Physician Assistant · Springfield Township, NJ
NPI number
1760024665
Active
Practice location
355 US Route 22
Springfield Township, NJ 07081
Mailing address
31 Waterview Ct
Staten Island, NY 10305-3147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 25MP00545700 (NJ) |
Medical Physician Assistant: Definition to come...
About NPI 1760024665
Paula Fedorovsky's National Provider Identifier is 1760024665, issued on Oct 11, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield Township, NJ. The record was last updated on Sep 11, 2025.