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

Mary Hanna-Alla, PA-C

Individual provider Physician Assistant · NPI 1619865409

Mary Hanna-Alla, PA-C is a Physician Assistant in West Long Branch, New Jersey. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
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

400 Cedar Ave
West Long Branch, NJ 07764-1804
Phone: (732) 923-4534
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NJ)

Record details

NPI number1619865409
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 27, 2025
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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