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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY D TANKASALI, PA-C

Active

KIMBERLY D TANKASALI, PA-C is a Medical Physician Assistant healthcare provider located in POMPTON PLAINS, New Jersey. NPI 1417061870 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · POMPTON PLAINS, NJ

Registration Details

NPI Number
1417061870
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2006 (20.012019813593 yrs)
Last Updated
Oct 2, 2012
Licenses
010698 (NY)
25MP00145300 (NJ)

Practice Information

Address
97 W PARKWAY
POMPTON PLAINS, NJ, 074441647
Browse NJ providers · Browse ZIP 07444
Phone
9738315446
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in POMPTON PLAINS, NJ

Name Credential NPI
ARIADNE P COUSOULAS PA-C 1215197058
MRS. SARAH ELIZABETH ANDERSON PA-C 1376276238
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.