Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel L Baillie, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1669059242

Angel L Baillie, PHYSICIANASSISTANT is a Physician Assistant in Mount Laurel, 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 and Pennsylvania.

Years since qualifying
5
Licensed in
NJ, PA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

501 Fellowship Rd Ste 101
Mount Laurel, NJ 08054-3419
Phone: (856) 642-2133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 S 11th St, Philadelphia, PA 19107-4870 — (215) 857-5697

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00700100 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA063255 (PA)

Record details

NPI number1669059242
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 28, 2021
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 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 locations2 on file with Medicare

Other providers in Mount Laurel