Individual provider · Type 1 NPI

Michelle Mac

Medical Physician Assistant · Kearny, NJ

NPI number 1013755792 Active

Practice location

512 Kearny Ave Ste B
Kearny, NJ 07032-2703

Mailing address

600 S 43rd St
Philadelphia, PA 19104-4418

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1013755792

Michelle Mac's National Provider Identifier is 1013755792, issued on Jul 17, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kearny, NJ. The record was last updated on Jan 15, 2026.