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

Individual provider Physician Assistant · NPI 1942826458

Kristina Marie Dauernheim, PA-C is a Physician Assistant in Neptune, New Jersey. Qualified in 2020, 6 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
Specialties on file
3
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

19 Davis Ave 4th Fl Hope Tower
Neptune, NJ 07753
Phone: (732) 974-0003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00582200 (NJ)
Physician Assistant Taxonomy 363A00000X
Surgery Physician Taxonomy 208600000X · Licence 25MP00582200 (NJ)

Record details

NPI number1942826458
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 20, 2020
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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