Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACI BLAKE, PA
ActiveTRACI BLAKE, PA is a Physician Assistant healthcare provider located in ENGLEWOOD, New Jersey. NPI 1922519271 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ENGLEWOOD, NJ
Registration Details
- NPI Number
- 1922519271
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2017 (8.8204533916253 yrs)
- Last Updated
- Jul 18, 2022
- Licenses
-
021388 (NY)25MP00449500 (NJ)
Practice Information
- Address
-
401 S VAN BRUNT ST STE 3ENGLEWOOD, NJ, 076314600Browse NJ providers · Browse ZIP 07631
- Phone
- 2015692770
- Fax
- 2015691774
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ENGLEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| JULIA A ELIZONDO | PA | 1295771335 |
| EDWIN SALAMANCA | PA | 1134165269 |
| JUMS I BABATUNDE | P.A. | 1710027586 |
| PARTHENA KALLOPOULOS | PHYSICIAN ASSISTANT | 1902948375 |
| MS. HEATHER MARIE MOHRMAN | P.A.-C | 1548480452 |
| MR. BARRY S HUGHES | PA | 1841405123 |
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.