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AGE-UNDEFINED, PLLC
NPI 1891667861
Physician Assistant - Medical in Fayetteville, NC

Active since September 19, 2025
2625 RAEFORD RD, FAYETTEVILLE, NC 28303(910) 286-6335(910) 786-1602 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Age-undefined, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGE-UNDEFINED, PLLC (NPI 1891667861) is a healthcare organization registered as a medical in Fayetteville, North Carolina and active in the NPI registry since September 2025. The organization lists Scott Festa, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1891667861
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameAGE-UNDEFINED, PLLC
Location Address2625 RAEFORD RDFayetteville, NC 28303-5471
Mailing Address2501 Lockwood RdFayetteville, NC 28303-5026 · (910) 286-6335 · Fax (910) 786-1602
Phone(910) 286-6335
Fax(910) 786-1602
Organization SubpartNo
Authorized OfficialScott FestaOwner/operator · (910) 286-6335
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1891667861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
2625 RAEFORD RD, Fayetteville, NC 28303
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Age-Undefined, PLLC's NPI number?

The NPI number for Age-Undefined, PLLC is 1891667861. It was assigned to this organization in the NPPES registry on September 19, 2025.

Where is Age-Undefined, PLLC located?

Age-Undefined, PLLC is located at 2625 Raeford Rd, Fayetteville, NC 28303. The listed phone number is (910) 286-6335.

What is Age-Undefined, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Age-Undefined, PLLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.