Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANISSA BRADDOCK, PA-C
ActiveANISSA BRADDOCK, PA-C is a Surgical Physician Assistant healthcare provider located in PENNINGTON, New Jersey. NPI 1356502736 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · PENNINGTON, NJ
Registration Details
- NPI Number
- 1356502736
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2008 (18.130730993548 yrs)
- Last Updated
- Sep 11, 2025
- License
-
25MP00149200 (NJ)
Practice Information
- Address
-
2 CAPITAL WAY STE 356PENNINGTON, NJ, 08534Browse NJ providers · Browse ZIP 08534
- Phone
- 6095377277
- Fax
- 6095376002
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in PENNINGTON, NJ
| Name | Credential | NPI |
|---|---|---|
| SCOTT STEVENSON | P.A. | 1972577054 |
| AIMEE A JULIANA | PA-C | 1417145723 |
| ERIN O'HAGAN | PA-C | 1346411097 |
| PETER MICHAEL GDOVIN | PA-C | 1538530597 |
| MRS. KATHLEEN MARGARET MILLER | PA-C | 1972959658 |
| JENNIFER REY | P.A.-C | 1568909000 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.