Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mya Niccole Twyman, PA-C

Individual provider Physician Assistant · NPI 1750925343

Mya Niccole Twyman, PA-C is a Physician Assistant in Bronx, New York. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in California, Connecticut, New Jersey and New York.

Years since qualifying
7
Licensed in
CA, CT, NJ, NY
In the registry since
2019
Specialties on file
4
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

3424 Kossuth Ave
Bronx, NY 10467-2410
Phone: (718) 519-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 238 Mulberry St Fl 1, Newark, NJ 07102-3528 — (973) 622-3900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00554200 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence PA63697 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 6369 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 024328 (NY)

Record details

NPI number1750925343
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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