MS. MACKAYLA RENEE PROBASCO (NPI# 1568005387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568005387 |
Entity Type | Individual |
Full Name | MS. MACKAYLA RENEE PROBASCO |
Credential | PA-C |
Practice Address |
911 Sunset Rd Burlington NJ 08016-2250 |
Mailing Address |
53 Ivins Dr New Egypt NJ 08533-2810 |
Practice Telephone | 6093878787 |
Mailing Telephone | 7326444029 |
Enumeration Date | 2019-10-24 |
Last Update Date | 2019-10-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00550100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
911 SUNSET RD |
City | BURLINGTON |
State | NJ |
Zip Code | 08016-2250 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699798009 | Barbara Jeanne Moront | Family Medicine | 911 Sunset Rd, Burlington, NJ 08016-2250 | 2006-07-26 |
1093350050 | Advocare, LLC | Family Medicine | 911 Sunset Rd, Burlington, NJ 08016-2250 | 2019-11-14 |
1245573237 | Sunset Road Medical Assoc Pa | Non-Pharmacy Dispensing Site | 911 Sunset Rd, Burlington, NJ 08016-2250 | 2013-03-28 |
1205998770 | Sunset Road Medical Assoc Pa | General Practice | 911 Sunset Rd, Burlington, NJ 08016-2250 | 2006-12-14 |
1023181252 | Gabriella L D'ambrosio | General Practice | 911 Sunset Rd, Burlington, NJ 08016-2250 | 2006-11-16 |
1184720542 | Andrew J Blank | General Practice | 911 Sunset Rd, Burlington, NJ 08016-2250 | 2006-09-15 |
1235235623 | Albert A Talone | General Practice | 911 Sunset Rd, Burlington, NJ 08016-2250 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306487780 | Neighbours-inc | Community/Behavioral Health | 409 Domininque Court, Burlinton, NJ 08016 | 2019-10-07 |
1881163368 | Stacie Lynn Wible | Speech-Language Pathologist | 34 Mohawk Trail, Burlington, NJ 08016 | 2018-11-14 |
1619495520 | Oaks Integrated Care | Clinic/Center | 2000 Burlington Bypass, Burlington, NJ 08016 | 2017-08-31 |
1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
1477946937 | Sina Durham | Counselor | 1 Beechwood Lane, Burlington, NJ 08016 | 2015-03-09 |
1336568138 | Olayinka I Akeju | Counselor | 129 Riverwalk Blvd, Burlington Township, NJ 08016 | 2014-04-09 |
1477980316 | Tia Jones | Counselor | 2000 Burlington By-pass, Burlington, NJ 08016 | 2013-10-10 |
1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
Find all providers in zip 08016 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306299532 | Courtney Simmons Scott | Physician Assistant | 5214 S Nc Highway 62, Burlington, NC 27215-9023 | 2016-07-23 |
1821408907 | Laramie Jay Richmond | Physician Assistant | 311 Davis St N, Burlington, ND 58722-2027 | 2014-04-29 |
1861668303 | Holly Griffin Hong | Physician Assistant | 1041 Kirkpatrick Rd Ste 100, Burlington, NC 27215-8066 | 2008-05-05 |
1407923329 | Martha Parnell Seagrave | Physician Assistant | 425 Pearl Street, Center for Health and Wellbeing, Burlington, VT 05401 | 2006-11-29 |
1053406462 | Susan W Fisher | Physician Assistant | 1240 Huffman Mill Road, Attn Emergency Department, Burlington, NC 27511 | 2006-10-03 |
1730186024 | Candace Campbell | Physician Assistant | 182 16th St, Burlington, CO 80807-1649 | 2005-07-01 |
1285275891 | Amber Blanchard | Physician Assistant | 104 Huffman Mill Rd, Burlington, NC 27215-5113 | 2019-10-04 |
1952811564 | Emilie Lise Besl | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-10-09 |
1699121244 | Cherie Hendrickson | Physician Assistant | 41 Mall Rd, Burlington, MA 01805-0001 | 2016-05-12 |
1063801173 | Janice Bridges Woodard | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2015-01-13 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 08016 |
Please comment or provide details below to improve the information on MS. MACKAYLA RENEE PROBASCO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.