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BREONA ALEXIS MACK PA
NPI 1366363152
Physician Assistant in Piscataway, NJ

Active since July 24, 2026PECOS Enrolled
675 HOES LN W, PISCATAWAY, NJ 08854(732) 235-4445 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Breona Alexis Mack Pa NPPES

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

BREONA ALEXIS MACK PA (NPI 1366363152) is an individual physician assistant in Piscataway, New Jersey and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366363152
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBREONA ALEXIS MACKCredential: PA
Location Address675 HOES LN WPiscataway, NJ 08854-8021
Mailing Address304 S 10th Ave Apt CHighland Park, NJ 08904-3410
Phone(732) 235-4445
Sole ProprietorNo
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1366363152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
675 HOES LN W, Piscataway, NJ 08854
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breona Alexis Mack Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

PALAK R PATEL
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-5016
DR. NAJM KHAN MD
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-4690
SYDNEY WELLENS MD
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-7673
DEVON KELLEY MD
General Practice
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-7673
RISA NICOLE KIERNAN DO
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (203) 974-2640
JAMES HAROLD REESE MD
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-7673
JUSTIN LEE BENTON
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-4670
DR. EMILY KATHERINE KOLODKA MD
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-7673

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 Breona Mack's NPI number?

The NPI number for Breona Mack is 1366363152. It was assigned to this individual provider in the NPPES registry on July 24, 2026.

Where is Breona Mack located?

Breona Mack practices at 675 Hoes Ln W, Piscataway, NJ 08854. The listed phone number is (732) 235-4445.

What is Breona Mack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Breona Mack enrolled in Medicare?

Yes. Breona Mack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breona Mack was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.