Active NPIIndividual provider

Jillian Kostenbauder, PA-C

Physician Assistant, Medical in Sicklerville, New Jersey

NPI Number1750220240
Practice location
1100 Liberty Pl, Sicklerville, NJ 08081-5708
Fax
—
Last updated
August 26, 2026

Jillian Kostenbauder is a Physician Assistant, Medical based in Sicklerville, NJ. Jillian Kostenbauder practices in Sicklerville, NJ and has the professional credentials of PA-C. The NPI Number for Jillian Kostenbauder is 1750220240. The current practice location address for Jillian Kostenbauder is 1100 Liberty Pl, Sicklerville, NJ 08081-5708 and can be reached out via phone at 856-589-6034.

Provider Profile Details

NPI Number
1750220240
Provider Name
Jillian Kostenbauder
Credential
PA-C
Provider Entity Type
Individual
Address
1100 Liberty Pl, Sicklerville, NJ 08081-5708
Phone Number
856-589-6034
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2026
Last Update Date
August 26, 2026
Certification Date
August 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1100 Liberty Pl
Sicklerville, NJ 08081-5708
Zip
08081-5708
Phone Number
856-589-6034
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
409 Daventry RD
Devon, PA 19333-1517
City
Devon
State
PA
Zip
19333-1517

License Information

Taxonomy
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 Jillian Kostenbauder, PA-C?

The NPI number of Jillian Kostenbauder, PA-C is 1750220240. It was assigned on March 27, 2026 and is currently active in the NPPES registry.

What is the specialty of Jillian Kostenbauder, PA-C?

Jillian Kostenbauder, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).

Where does Jillian Kostenbauder, PA-C practice?

The practice location is 1100 Liberty Pl, Sicklerville, NJ 08081-5708. The office can be reached at 856-589-6034 (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 1750220240 directly on the NPPES registry website.

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