Individual provider · Type 1 NPI

Taylor Grader, PA-C

Medical Physician Assistant · Hackensack, NJ

NPI number 1356239198 Active

Practice location

30 Prospect Ave Radiology Dept
Hackensack, NJ 07601-1915

Call (201) 488-2660 Map

Mailing address

130 Kinderkamack Rd Ste 200
River Edge, NJ 07661-1951

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00946600 (NJ)

Medical Physician Assistant: Definition to come...

16 other providers at this address

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About NPI 1356239198

Taylor Grader, PA-C's National Provider Identifier is 1356239198, issued on Jun 27, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hackensack, NJ. The record was last updated on Oct 6, 2026.