Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN JULIA BACCI
Active Sole ProprietorKATHRYN JULIA BACCI is a Physician Assistant healthcare provider located in OAKHURST, New Jersey. NPI 1861075392 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OAKHURST, NJ
Registration Details
- NPI Number
- 1861075392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2021 (5.2707166605575 yrs)
- Last Updated
- Jan 6, 2026
- License
-
25MP00642500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1912 STATE ROUTE 35 STE 201OAKHURST, NJ, 077552768Browse NJ providers · Browse ZIP 07755
- Phone
- 7323895004
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in OAKHURST, NJ
| Name | Credential | NPI |
|---|---|---|
| LINDSAY L. GANNON | PA-C | 1164677787 |
| MISS DANIELLE DEFOTO | PA | 1831666841 |
| MS. KADEJAH LAWRENCE | PA-C | 1356989701 |
| JEFFREY MOBILIO | — | 1194358218 |
| EMILY REISER | PA-C | 1659998664 |
| JEFFREY SEVERINO | — | 1013682939 |
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.