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

Thareem Nisa

Individual provider Physician Assistant · NPI 1518890516

Thareem Nisa is a Physician Assistant in West Long Branch, New Jersey. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

400 Cedar Ave
West Long Branch, NJ 07764-1804
Phone: (908) 907-3347
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1518890516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address400 Cedar Ave, West Long Branch, NJ 07764-1804

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