Provider Demographics
NPI:1174754725
Name:HIGGINS, PATRICK J (PA)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 JERSEY AVE STE 280A
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4691
Mailing Address - Country:US
Mailing Address - Phone:201-915-2855
Mailing Address - Fax:201-862-0095
Practice Address - Street 1:377 JERSEY AVE STE 280A
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4691
Practice Address - Country:US
Practice Address - Phone:201-915-2855
Practice Address - Fax:201-943-7308
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00219400363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical