Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Angela Dorota Maciag, PA-C

Individual provider Physician Assistant · NPI 1154178457

Mrs. Angela Dorota Maciag, PA-C is a Physician Assistant in Old Bridge, New Jersey. Qualified in 2021, 5 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2024
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

6 Whitewood Pl
Old Bridge, NJ 08857-2422
Phone: (718) 751-6280
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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 25MP00701400 (NJ)

Record details

NPI number1154178457
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 3, 2024
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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