Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANNA DOMINIQUE MESA, PA
ActiveBREANNA DOMINIQUE MESA, PA is a Physician Assistant healthcare provider located in PARAMUS, New Jersey. NPI 1720648728 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PARAMUS, NJ
Registration Details
- NPI Number
- 1720648728
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2019 (7.1261363525595 yrs)
- Last Updated
- Nov 13, 2024
- License
-
25MP00527800 (NJ)
Practice Information
- Address
-
650 FROM RDSTE 420PARAMUS, NJ, 07652Browse NJ providers · Browse ZIP 07652
- Phone
- 2016396620
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PARAMUS, NJ
| Name | Credential | NPI |
|---|---|---|
| JILL KOSSOVE | P.A. | 1124021589 |
| MRS. DANA M MCGOLDRICK | PA | 1932168184 |
| PNINA BARGAD | — | 1881602233 |
| LISA M MICIK | PA-C | 1003826157 |
| LYLE D STARK | PA-C | 1306946819 |
| MS. JENNIFER EVE REYES | PA-C | 1548579162 |
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.