MRS. ASHLEY T RECKDENWALD (NPI# 1629324769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629324769 |
| Entity Type | Individual |
| Full Name | MRS. ASHLEY T RECKDENWALD |
| Credential | PA-C |
| Practice Address |
325 Princeton Ave Princeton NJ 08540-1617 |
| Practice Telephone | 6099248131 |
| Mailing Telephone | 6099248131 |
| Mailing Fax Number | 6099248532 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 25MP00289300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00289300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
325 PRINCETON AVE |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960570 | Michael Alberto Palmer | Neuromusculoskeletal Medicine, Sports Medicine | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2005-11-25 |
| 1437756350 | Olivia N Dudley | Physician Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2020-10-04 |
| 1245843200 | Rebecca L Graessle | Physical Therapist | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2020-08-28 |
| 1972114700 | Kayla Roca | Physical Therapist | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2020-08-14 |
| 1952919417 | Madelyn L Schwartz | Physician Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2020-07-21 |
| 1568024214 | Melissa Kate Peyser | Occupational Therapist | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2019-07-02 |
| 1700447083 | Bridget Katherine Doolittle | Physician Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2019-06-26 |
| 1659840023 | Adam Abel | Physical Therapy Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2018-11-15 |
| 1942777842 | Sakina Mustafa Tayebali | Physician Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2018-10-29 |
| 1346725173 | Ryan Field | Physician Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467648626 | Kevin Trolene | Physician Assistant | 713 Executive Dr, Princeton, NJ 08540-1529 | 2007-09-21 |
| 1760494058 | Ronald William Norman | Physician Assistant | 120 Acadia Ct Apt 12, Princeton, NJ 08540-7073 | 2006-08-13 |
| 1407144587 | Nicole Bien | Physician Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2011-07-11 |
| 1164643615 | Sweta Goradia | Physician Assistant | 253 Witherspoon Street, Princeton, NJ 08540 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
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| 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.