Active NPIIndividual provider

Michelle Hathaway, PA-C

Physician Assistant, Medical in Sewell, New Jersey

NPI Number1558798702
Practice location
100 Kings Way W Unit D1, Sewell, NJ 08080-2235
Fax
856-352-6710
Last updated
March 3, 2026

Michelle Hathaway is a Physician Assistant, Medical based in Sewell, NJ. Michelle Hathaway practices in Sewell, NJ and has the professional credentials of PA-C. The NPI Number for Michelle Hathaway is 1558798702 and holds a License No. TC827 (KY). The current practice location address for Michelle Hathaway is 100 Kings Way W Unit D1, Sewell, NJ 08080-2235 and can be reached out via phone at 856-352-6572 and via fax at 856-352-6710.

Provider Profile Details

NPI Number
1558798702
Provider Name
Michelle Hathaway
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Kings Way W Unit D1, Sewell, NJ 08080-2235
Phone Number
856-352-6572
Fax Number
856-352-6710
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2013
Last Update Date
March 3, 2026
Certification Date
March 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Kings Way W Unit D1
Sewell, NJ 08080-2235
City
Sewell
Zip
08080-2235
Phone Number
856-352-6572
Fax Number
856-352-6710
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
222 New RD Ste 201
Linwood, NJ 08221-1281
City
Linwood
State
NJ
Zip
08221-1281
Phone Number
609-788-8593
Fax Number
609-904-6929

License Information

License Number (1)
TC827
License State (1)
KY
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
25MP00320600
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Michelle Hathaway, PA-C?

The NPI number of Michelle Hathaway, PA-C is 1558798702. It was assigned on October 2, 2013 and is currently active in the NPPES registry.

What is the specialty of Michelle Hathaway, PA-C?

Michelle Hathaway, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in KY under license number TC827.

Where does Michelle Hathaway, PA-C practice?

The practice location is 100 Kings Way W Unit D1, Sewell, NJ 08080-2235. The office can be reached at 856-352-6572 (phone) or 856-352-6710 (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 1558798702 directly on the NPPES registry website.

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