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

Kaitlin M Bourdeau, PA

Individual provider Physician Assistant · NPI 1780236489

Kaitlin M Bourdeau, PA is a Physician Assistant in Bloomfield, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
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

1255 Broad St Ste 201A
Bloomfield, NJ 07003-3061
Phone: (973) 842-2100
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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 25MP00528000

Record details

NPI number1780236489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESJuly 18, 2019
Mailing address135 Brakeshoe Pl, Mahwah, NJ 07430-1102

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