Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Ashley Ilaria, PA-C

Individual provider Physician Assistant · NPI 1770839847

Kristin Ashley Ilaria, PA-C is a Physician Assistant in Lakewood, New Jersey. Qualified in 2012, 14 years ago. Practices with Patricia C McCormack MD PC, a 10-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

600 River Ave
Lakewood, NJ 08701-5237
Phone: (732) 886-4525
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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 25MP00288100 (NJ)

Record details

NPI number1770839847
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2012
Last updated in NPPESJuly 26, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Patricia C McCormack Md Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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