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

MS. Marisa H McKibban, PA

Individual provider Physician Assistant · NPI 1174607600

MS. Marisa H McKibban, PA is a Physician Assistant in East Orange, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

300 Central Ave
East Orange, NJ 07018-2819
Phone: (973) 470-3000
Fax: (973) 470-3506
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00167000 (NJ)

Record details

NPI number1174607600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESNovember 1, 2011

Other providers in East Orange