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

Breanna Dominique Mesa, PA

Individual provider Medical Physician Assistant · NPI 1720648728

Breanna Dominique Mesa, PA is a Physician Assistant in Paramus, New Jersey. Qualified in 2019, 7 years ago. Practices with Am Pm Walk in Urgent Care Clinic, a 71-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

650 From Rd Ste 420
Paramus, NJ 07652
Phone: (201) 639-6620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 127 Montgomery St, Jersey City, NJ 07302-3616 — (201) 431-7200
  • 72 Allen Dr, Wayne, NJ 07470-3371 — (973) 934-8686

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00527800 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1720648728
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Am Pm Walk In Urgent Care Clinic — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Paramus