Michelle Mac
Physician Assistant, Medical in Kearny, New Jersey
1013755792- Practice location
- 512 Kearny Ave Ste B, Kearny, NJ 07032-2703
- Phone
- 201-998-7474
- Fax
- —
- Last updated
- January 15, 2026
Michelle Mac is a Physician Assistant, Medical based in Kearny, NJ. Michelle Mac practices in Kearny, NJ. The NPI Number for Michelle Mac is 1013755792. The current practice location address for Michelle Mac is 512 Kearny Ave Ste B, Kearny, NJ 07032-2703 and can be reached out via phone at 201-998-7474.
Provider Profile Details
- NPI Number
- 1013755792
- Provider Name
- Michelle Mac
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 512 Kearny Ave Ste B, Kearny, NJ 07032-2703
- Phone Number
- 201-998-7474
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 17, 2024
- Last Update Date
- January 15, 2026
- Certification Date
- January 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 512 Kearny Ave Ste B
Kearny, NJ 07032-2703 - City
- Kearny
- State
- New Jersey
- Zip
- 07032-2703
- Phone Number
- 201-998-7474
Provider Business Mailing Address Details
- Address
- 600 S 43RD St
Philadelphia, PA 19104-4418 - City
- Philadelphia
- State
- PA
- Zip
- 19104-4418
License Information
- License State
- NJ
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michelle Mac?
The NPI number of Michelle Mac is 1013755792. It was assigned on July 17, 2024 and is currently active in the NPPES registry.
What is the specialty of Michelle Mac?
Michelle Mac is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).
Where does Michelle Mac practice?
The practice location is 512 Kearny Ave Ste B, Kearny, NJ 07032-2703. The office can be reached at 201-998-7474 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013755792 directly on the NPPES registry website.