Active NPIIndividual provider

Jacqueline Simonetti, PA-C

Physician Assistant in Willingboro, New Jersey

NPI Number1114513041
Practice location
220 Sunset RD Ste 2C, Willingboro, NJ 08046-1126
Fax
609-871-0619
Last updated
November 4, 2026

Jacqueline Simonetti is a Physician Assistant based in Willingboro, NJ. Jacqueline Simonetti practices in Willingboro, NJ and has the professional credentials of PA-C. The NPI Number for Jacqueline Simonetti is 1114513041 and holds a License No. 25MP00592300 (NJ). The current practice location address for Jacqueline Simonetti is 220 Sunset RD Ste 2C, Willingboro, NJ 08046-1126 and can be reached out via phone at 609-871-9500 and via fax at 609-871-0619.

Provider Profile Details

NPI Number
1114513041
Provider Name
Jacqueline Simonetti
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
220 Sunset RD Ste 2C, Willingboro, NJ 08046-1126
Phone Number
609-871-9500
Fax Number
609-871-0619
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 15, 2020
Last Update Date
November 4, 2026
Certification Date
November 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Sunset RD Ste 2C
Willingboro, NJ 08046-1126
Zip
08046-1126
Phone Number
609-871-9500
Fax Number
609-871-0619
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
35 Meadow RD
Pennsville, NJ 08070-1222
City
Pennsville
State
NJ
Zip
08070-1222
Phone Number
856-430-6682

License Information

License Number
25MP00592300
License State
NJ
Taxonomy
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 Jacqueline Simonetti, PA-C?

The NPI number of Jacqueline Simonetti, PA-C is 1114513041. It was assigned on December 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Simonetti, PA-C?

Jacqueline Simonetti, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00592300.

Where does Jacqueline Simonetti, PA-C practice?

The practice location is 220 Sunset RD Ste 2C, Willingboro, NJ 08046-1126. The office can be reached at 609-871-9500 (phone) or 609-871-0619 (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 1114513041 directly on the NPPES registry website.

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