Active NPIIndividual provider

Priyanka Bahl, PA

Physician Assistant, Medical in Englewood, New Jersey

NPI Number1043681679
Practice location
18 W Palisade Ave, Englewood, NJ 07631-2709
Fax
415-252-7176
Last updated
July 1, 2026

Priyanka Bahl is a Physician Assistant, Medical based in Englewood, NJ. Priyanka Bahl practices in Englewood, NJ and has the professional credentials of PA. The NPI Number for Priyanka Bahl is 1043681679 and holds a License No. 25MP00956500 (NJ). The current practice location address for Priyanka Bahl is 18 W Palisade Ave, Englewood, NJ 07631-2709 and can be reached out via phone at 888-663-6331 and via fax at 415-252-7176.

Provider Profile Details

NPI Number
1043681679
Provider Name
Priyanka Bahl
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
18 W Palisade Ave, Englewood, NJ 07631-2709
Phone Number
888-663-6331
Fax Number
415-252-7176
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
October 8, 2015
Last Update Date
July 1, 2026
Certification Date
July 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 W Palisade Ave
Englewood, NJ 07631-2709
Zip
07631-2709
Phone Number
888-663-6331
Fax Number
415-252-7176
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD.
Bldg 2, Ste 220
Red Bank, NJ 07701-5688
City
Red Bank
State
NJ
Zip
07701-5688

License Information

License Number (1)
25MP00956500
License State (1)
NJ
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X · Primary
License Number (2)
027847
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
C0005890
License State (3)
MD
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Priyanka Bahl, PA?

The NPI number of Priyanka Bahl, PA is 1043681679. It was assigned on October 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Priyanka Bahl, PA?

Priyanka Bahl, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00956500.

Where does Priyanka Bahl, PA practice?

The practice location is 18 W Palisade Ave, Englewood, NJ 07631-2709. The office can be reached at 888-663-6331 (phone) or 415-252-7176 (fax).

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 1043681679 directly on the NPPES registry website.

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