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

Tiffany Lo

Individual provider Physician Assistant · NPI 1811394984

Tiffany Lo is a Physician Assistant in Newark, New Jersey. Qualified in 2014, 12 years ago. Practices with Barnabas Health Medical Group PC, a 1,025-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
12
Licensed in
NJ, NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 926-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00527700 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 018260 (NY)

Record details

NPI number1811394984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2014
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022
Mailing address201 Lyons Ave, Newark, NJ 07112-2027

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Barnabas Health Medical Group Pc — 1025 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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