Active NPIIndividual provider

Mrs. Alexa M Scholly, PA

Physician Assistant, Medical in Clifton, New Jersey

NPI Number1881001386
Practice location
1255 Broad St, Clifton, NJ 07013-3398
Fax
—
Last updated
May 19, 2025

Alexa Marie Scholly is a Physician Assistant, Medical based in Clifton, NJ. Alexa Marie Scholly practices in Clifton, NJ and has the professional credentials of PA. The NPI Number for Alexa Marie Scholly is 1881001386 and holds a License No. 23017739 (NY). The current practice location address for Alexa Marie Scholly is 1255 Broad St, Clifton, NJ 07013-3398 and can be reached out via phone at 973-471-0981.

Provider Profile Details

NPI Number
1881001386
Provider Name
Alexa Marie Scholly
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1255 Broad St, Clifton, NJ 07013-3398
Phone Number
973-471-0981
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2014
Last Update Date
May 19, 2025
Certification Date
May 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1255 Broad St
Clifton, NJ 07013-3398
Zip
07013-3398
Phone Number
973-471-0981
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104

License Information

License Number (1)
23017739
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00541100
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
25MP00541100
License State (3)
NJ
Taxonomy (3)
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 Mrs. Alexa M Scholly, PA?

The NPI number of Mrs. Alexa M Scholly, PA is 1881001386. It was assigned on July 16, 2014 and is currently active in the NPPES registry.

What is the specialty of Mrs. Alexa M Scholly, PA?

Mrs. Alexa M Scholly, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 23017739.

Where does Mrs. Alexa M Scholly, PA practice?

The practice location is 1255 Broad St, Clifton, NJ 07013-3398. The office can be reached at 973-471-0981 (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 1881001386 directly on the NPPES registry website.

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