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

Kimberly D Tankasali, PA-C

Individual provider Medical Physician Assistant · NPI 1417061870

Kimberly D Tankasali, PA-C is a Medical Physician Assistant in Pompton Plains, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2006.

Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone: (973) 831-5446
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00145300 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 010698 (NY)

Record details

NPI number1417061870
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESOctober 2, 2012

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