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

Annie M Mulvaney, PHYSICIANASSISTANT

Individual provider Dermatology Physician · NPI 1679706139

Annie M Mulvaney, PHYSICIANASSISTANT is a Physician Assistant in West Orange, New Jersey. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2009, 17 years ago. Practices with Pinnacle Dermatology SC, a 145-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
17
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
NJ
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

347 Mount Pleasant Ave Ste 103
West Orange, NJ 07052
Phone: (973) 571-2121
Fax: (973) 498-0535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MA05757000
Dermatology Physician Taxonomy 207N00000X · Licence 25MA05757000 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00223900 (NJ)

Record details

NPI number1679706139
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 1, 2009
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2009 (17 years in practice)
Group practice Pinnacle Dermatology Sc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in West Orange