Individual provider · Type 1 NPI
Brandon Gamaniel Lopez, PA-C
Physician Assistant · Tinton Falls, NJ
Practice location
776 Shrewsbury Ave Ste 105
Tinton Falls, NJ 07724-3006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00952000 (NJ) |
| Physician Assistant Primary | 363A00000X | 25MP00952000 (NJ) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1891679759
Brandon Gamaniel Lopez, PA-C's National Provider Identifier is 1891679759, issued on Aug 4, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tinton Falls, NJ. The record was last updated on Sep 1, 2025.