Active NPIIndividual providerSole proprietor

Kathryn J Bacci

Physician Assistant in Oakhurst, New Jersey

NPI Number1861075392
Practice location
1912 State Route 35 Ste 201, Oakhurst, NJ 07755-2768
Fax
—
Last updated
January 6, 2026

Kathryn Julia Bacci is a Physician Assistant based in Oakhurst, NJ. Kathryn Julia Bacci practices in Oakhurst, NJ. The NPI Number for Kathryn Julia Bacci is 1861075392 and holds a License No. 25MP00642500 (NJ). The current practice location address for Kathryn Julia Bacci is 1912 State Route 35 Ste 201, Oakhurst, NJ 07755-2768 and can be reached out via phone at 732-389-5004.

Provider Profile Details

NPI Number
1861075392
Provider Name
Kathryn Julia Bacci
Provider Entity Type
Individual
Gender
Female
Address
1912 State Route 35 Ste 201, Oakhurst, NJ 07755-2768
Phone Number
732-389-5004
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 3, 2021
Last Update Date
January 6, 2026
Certification Date
January 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1912 State Route 35 Ste 201
Oakhurst, NJ 07755-2768
Zip
07755-2768
Phone Number
732-389-5004
Oakhurst, NJ 07755Get directions →

Provider Business Mailing Address Details

Address
2 Crosswicks RD
Freehold, NJ 07728-3009
City
Freehold
State
NJ
Zip
07728-3009
Phone Number
908-217-5681

License Information

License Number
25MP00642500
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 Kathryn J Bacci?

The NPI number of Kathryn J Bacci is 1861075392. It was assigned on May 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Kathryn J Bacci?

Kathryn J Bacci is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00642500.

Where does Kathryn J Bacci practice?

The practice location is 1912 State Route 35 Ste 201, Oakhurst, NJ 07755-2768. The office can be reached at 732-389-5004 (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 1861075392 directly on the NPPES registry website.

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