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

Individual provider Medical Physician Assistant · NPI 1932217387

Mrs. Jessica Ruth Grabowski, PHYSICIANASSISTANT is a Physician Assistant in Livingston, New Jersey. Qualified in 2004, 22 years ago. Practices with South Coast Dermatology LLC, a 17-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
22
Licensed in
NJ
In the registry since
2006
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Practice location Address checks out

22 Old Short Hills Rd Ste 103
Livingston, NJ 07039-5604
Phone: (973) 535-5800
Fax: (973) 535-9550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00123400 (NJ)

Record details

NPI number1932217387
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 27, 2006
Last updated in NPPESMarch 10, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice South Coast Dermatology Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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