Active NPIIndividual providerSole proprietor

Mrs. Angela D Maciag, PA-C

Physician Assistant in Old Bridge, New Jersey

NPI Number1154178457
Practice location
6 Whitewood Pl, Old Bridge, NJ 08857-2422
Fax
—
Last updated
May 3, 2024

Angela Dorota Maciag is a Physician Assistant based in Old Bridge, NJ. Angela Dorota Maciag practices in Old Bridge, NJ and has the professional credentials of PA-C. The NPI Number for Angela Dorota Maciag is 1154178457 and holds a License No. 25MP00701400 (NJ). The current practice location address for Angela Dorota Maciag is 6 Whitewood Pl, Old Bridge, NJ 08857-2422 and can be reached out via phone at 718-751-6280.

Provider Profile Details

NPI Number
1154178457
Provider Name
Angela Dorota Maciag
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6 Whitewood Pl, Old Bridge, NJ 08857-2422
Phone Number
718-751-6280
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Other Names
Ms. Angela Dorota Bajor, PA-C (Former Name)
Provider Enumeration Date
May 3, 2024
Last Update Date
May 3, 2024
Certification Date
May 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Whitewood Pl
Old Bridge, NJ 08857-2422
Zip
08857-2422
Phone Number
718-751-6280
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
6 Whitewood Pl
Old Bridge, NJ 08857-2422
City
Old Bridge
State
NJ
Zip
08857-2422
Phone Number
718-751-6280

License Information

License Number
25MP00701400
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 Mrs. Angela D Maciag, PA-C?

The NPI number of Mrs. Angela D Maciag, PA-C is 1154178457. It was assigned on May 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Angela D Maciag, PA-C?

Mrs. Angela D Maciag, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00701400.

Where does Mrs. Angela D Maciag, PA-C practice?

The practice location is 6 Whitewood Pl, Old Bridge, NJ 08857-2422. The office can be reached at 718-751-6280 (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 1154178457 directly on the NPPES registry website.

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