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

Michelle Mac

Individual provider Medical Physician Assistant · NPI 1013755792

Michelle Mac is a Medical Physician Assistant in Kearny, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2024

Practice location Address checks out

512 Kearny Ave Ste B
Kearny, NJ 07032-2703
Phone: (201) 998-7474
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (NJ)

Record details

NPI number1013755792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 17, 2024
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address600 S 43rd St, Philadelphia, PA 19104-4418

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