MICHELLE MAC
NPI 1013755792
Physician Assistant - Medical in Kearny, NJ

Active since July 17, 2024
512 KEARNY AVE STE B, KEARNY, NJ 07032(201) 998-7474 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Dec 21, 2025, Jul 17, 2024 (3 updates tracked since 2024).

About Michelle Mac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE MAC (NPI 1013755792) is an individual medical provider in Kearny, New Jersey and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1013755792
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE MAC
Location Address512 KEARNY AVE STE BKearny, NJ 07032-2703
Mailing Address600 S 43rd StPhiladelphia, PA 19104-4418
Sole ProprietorYes
Enumeration DateJuly 17, 2024
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
NPI 1013755792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
512 KEARNY AVE STE B, Kearny, NJ 07032

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
512 KEARNY AVE STE B
KEARNY, NJ 07032
Internal Medicine
512 KEARNY AVE STE B
KEARNY, NJ 07032
Internal Medicine
512 KEARNY AVE STE B
KEARNY, NJ 07032
Nurse Practitioner (Family)
512 KEARNY AVE STE B
KEARNY, NJ 07032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Mac's NPI number?

The NPI number for Michelle Mac is 1013755792. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Michelle Mac located?

Michelle Mac practices at 512 Kearny Ave Ste B, Kearny, NJ 07032. The listed phone number is (201) 998-7474.

What is Michelle Mac's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michelle Mac was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.