Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHYLA IMANI KISSOON, PA-C
ActiveSHYLA IMANI KISSOON, PA-C is a Physician Assistant healthcare provider located in SOUTH ORANGE, New Jersey. NPI 1790399483 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTH ORANGE, NJ
Registration Details
- NPI Number
- 1790399483
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2020 (5.9228416068334 yrs)
- Last Updated
- Aug 9, 2021
- Licenses
-
9113364 (FL)25MP00614400 (NJ)
Practice Information
- Address
-
20 VALLEY ST STE 320SOUTH ORANGE, NJ, 070792881Browse NJ providers · Browse ZIP 07079
- Phone
- 9733131113
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SOUTH ORANGE, NJ
| Name | Credential | NPI |
|---|---|---|
| CRYSTAL L JACKSON | PA C | 1548298953 |
| JAVIER FERRANDIZ | PA-C | 1578947685 |
| KATHERYN GRAJALES | — | 1316317936 |
| JASMINE JOSEPH | PA-C | 1205397635 |
| SHARON SHAJI | PA | 1548044340 |
| KELLY CARROLL | — | 1295693216 |
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.