Individual provider · Type 1 NPI

Breona Alexis Mack, PA

Physician Assistant · Piscataway, NJ

NPI number 1366363152 Active

Practice location

675 Hoes Ln W
Piscataway, NJ 08854-8021

Call (732) 235-4445 Map

Mailing address

304 S 10th Ave Apt C
Highland Park, NJ 08904-3410

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366363152

Breona Alexis Mack, PA's National Provider Identifier is 1366363152, issued on Jul 24, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Piscataway, NJ. The record was last updated on Jul 24, 2026.