Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Rose Bustard, PA-C

Individual provider Physician Assistant · NPI 1609523463

Alyssa Rose Bustard, PA-C is a Physician Assistant in Camden, New Jersey. Qualified in 2021, 5 years ago. Practices with Cmc Department of Medicine Group PA, a 474-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Cooper Plz
Camden, NJ 08103-1461
Phone: (856) 968-8282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Cooper Plz Rm 320, Camden, NJ 08103-1438 — (856) 342-2445

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00691200 (NJ)

Record details

NPI number1609523463
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cmc Department Of Medicine Group Pa — 474 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Camden