Active NPIIndividual provider

Thareem Nisa

Physician Assistant in West Long Branch, New Jersey

NPI Number1518890516
Practice location
400 Cedar Ave, West Long Branch, NJ 07764-1804
Fax
—
Last updated
June 8, 2026

Thareem Nisa is a Physician Assistant based in West Long Branch, NJ. Thareem Nisa practices in West Long Branch, NJ. The NPI Number for Thareem Nisa is 1518890516. The current practice location address for Thareem Nisa is 400 Cedar Ave, West Long Branch, NJ 07764-1804 and can be reached out via phone at 908-907-3347.

Provider Profile Details

NPI Number
1518890516
Provider Name
Thareem Nisa
Provider Entity Type
Individual
Gender
Female
Address
400 Cedar Ave, West Long Branch, NJ 07764-1804
Phone Number
908-907-3347
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 8, 2026
Last Update Date
June 8, 2026
Certification Date
June 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Cedar Ave
West Long Branch, NJ 07764-1804
Zip
07764-1804
Phone Number
908-907-3347
West Long Branch, NJ 07764Get directions →

Provider Business Mailing Address Details

Address
400 Cedar Ave
West Long Branch, NJ 07764-1804
City
West Long Branch
State
NJ
Zip
07764-1804
Phone Number
908-907-3347

License Information

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 Thareem Nisa?

The NPI number of Thareem Nisa is 1518890516. It was assigned on June 8, 2026 and is currently active in the NPPES registry.

What is the specialty of Thareem Nisa?

Thareem Nisa is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Thareem Nisa practice?

The practice location is 400 Cedar Ave, West Long Branch, NJ 07764-1804. The office can be reached at 908-907-3347 (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 1518890516 directly on the NPPES registry website.

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