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

Breona Alexis Mack, PA

Individual provider Physician Assistant · NPI 1366363152

Breona Alexis Mack, PA is a Physician Assistant in Piscataway, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

675 Hoes Ln W
Piscataway, NJ 08854-8021
Phone: (732) 235-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1366363152
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 24, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

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