Individual provider · Type 1 NPI

Traci Blake, PA

Physician Assistant · Englewood, NJ

NPI number 1922519271 Active

Practice location

401 S Van Brunt St Ste 3
Englewood, NJ 07631-4600

Call (201) 569-2770 Map

Fax (201) 569-1774

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X021388 (NY)
Physician Assistant Primary 363A00000X25MP00449500 (NJ)

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 1922519271

Traci Blake, PA's National Provider Identifier is 1922519271, issued on Oct 13, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Englewood, NJ. The record was last updated on Jul 18, 2022.