Active NPIIndividual provider

Anna Dyakova, PA

Physician Assistant in Edison, New Jersey

NPI Number1073885307
Practice location
65 James St, Edison, NJ 08820-3947
Fax
—
Last updated
October 29, 2026

Anna Dyakova is a Physician Assistant based in Edison, NJ. Anna Dyakova practices in Edison, NJ and has the professional credentials of PA. The NPI Number for Anna Dyakova is 1073885307 and holds a License No. 015191 (NY). The current practice location address for Anna Dyakova is 65 James St, Edison, NJ 08820-3947 and can be reached out via phone at 732-321-7000.

Provider Profile Details

NPI Number
1073885307
Provider Name
Anna Dyakova
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
65 James St, Edison, NJ 08820-3947
Phone Number
732-321-7000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 2, 2012
Last Update Date
October 29, 2026
Certification Date
October 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 James St
Edison, NJ 08820-3947
City
Edison
Zip
08820-3947
Phone Number
732-321-7000
Edison, NJ 08820Get 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)
015191
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00328300
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

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 Anna Dyakova, PA?

The NPI number of Anna Dyakova, PA is 1073885307. It was assigned on February 2, 2012 and is currently active in the NPPES registry.

What is the specialty of Anna Dyakova, PA?

Anna Dyakova, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 015191.

Where does Anna Dyakova, PA practice?

The practice location is 65 James St, Edison, NJ 08820-3947. The office can be reached at 732-321-7000 (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 1073885307 directly on the NPPES registry website.

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