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

Pessie Kronglas, PA

Individual provider Medical Physician Assistant · NPI 1053675520

Pessie Kronglas, PA is a Physician Assistant in Lakewood, New Jersey. Qualified in 2012, 14 years ago. Practices with Lakewood Resource and Referral Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1771 Madison Ave
Lakewood, NJ 08701-1251
Phone: (732) 364-2144
Fax: (732) 364-3559
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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 25MP00277400 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00277400 (NJ)

Record details

NPI number1053675520
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 29, 2012
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lakewood Resource And Referral Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lakewood