Individual provider · Type 1 NPI

Kevin Jaramillo, PAC

Medical Physician Assistant · Englewood, NJ

NPI number 1790459816 Active

Practice location

39 Parkview Ter Apt 39
Englewood, NJ 07631-4214

Call (201) 674-8415 Map

Mailing address

16-12 Far Rockaway Blvd
Far Rockaway, NY 11691

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700X25MP00760900 (NJ)
Medical Physician Assistant Primary 363AM0700X2745644 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1790459816

Kevin Jaramillo, PAC's National Provider Identifier is 1790459816, issued on Aug 3, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Englewood, NJ. The record was last updated on Aug 5, 2026.