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

Individual provider Physician Assistant · NPI 1992935100

Larissa Stathakes, PA is a Physician Assistant in Trenton, New Jersey. Qualified in 2009, 17 years ago. Practices with Cooper Urgent Care PC, a 57-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
17
Licensed in
NJ
In the registry since
2009
Specialties on file
2
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

750 Brunswick Ave Helene Fuld Medical Ctr
Trenton, NJ 08638-4143
Phone: (800) 345-0064
Fax: (973) 251-1109
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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 25MP00221400 (NJ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1992935100
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 22, 2009
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Cooper Urgent Care Pc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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