Individual provider · Type 1 NPI

Jodie Lee Kunkel, PA

Surgical Physician Assistant · Berkeley Heights, NJ

NPI number 1982264248 Active

Practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00524700 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1982264248

Jodie Lee Kunkel, PA's National Provider Identifier is 1982264248, issued on Jun 19, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Berkeley Heights, NJ. The record was last updated on Oct 24, 2025.