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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BARE MOUNTAIN MEDICINE PC
NPI 1417852278
Physician Assistant in Ewing, NJ

Active since October 12, 2026
820 BEAR TAVERN RD, EWING, NJ 08628(786) 556-2111 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bare Mountain Medicine Pc NPPES

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

BARE MOUNTAIN MEDICINE PC (NPI 1417852278) is a healthcare organization registered as a physician assistant in Ewing, New Jersey and active in the NPI registry since October 2026. The organization lists Yakov Gologorsky, Incorporator, as its authorized official.

NPPES Registry Identity

NPI1417852278
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameBARE MOUNTAIN MEDICINE PC
Location Address820 BEAR TAVERN RDEwing, NJ 08628-1021
Mailing Address820 Bear Tavern RdEwing, NJ 08628-1021
Phone(786) 556-2111
Organization SubpartNo
Authorized OfficialYakov GologorskyIncorporator · (973) 707-3048
Enumeration DateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1417852278 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.
820 BEAR TAVERN RD, Ewing, NJ 08628
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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.

DR. MELISSA WAXMAN PSY.D.
Psychologist (Clinical)
820 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (855) 438-8331
SARA TRAINOR BT
Behavior Technician
820 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (973) 314-8450
TIDAL BEHAVIORAL ABA NJ LLC
Community/Behavioral Health
820 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (718) 736-5689
WILDFLOWER TELEHEALTH NETWORK INC.
Lactation Consultant, Non-RN
820 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (516) 480-9100
SANDRA ESTHER ACEVEDO
Health and Wellness Coach
820 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (608) 893-7265
LOURDES MEDICAL ASSOCIATES, PA
Internal Medicine
820 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (609) 882-5400
TERRILL C MORROW APN, NP-C
Nurse Practitioner (Family)
820 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (203) 880-5335
PEAR SUITE PROVIDER GROUP NJ, P.C.
Family Medicine
820 BEAR TAVERN RD
EWING, NJ 08628
Mercer County (213) 277-7340

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 Bare Mountain Medicine PC's NPI number?

The NPI number for Bare Mountain Medicine PC is 1417852278. It was assigned to this organization in the NPPES registry on October 12, 2026.

Where is Bare Mountain Medicine PC located?

Bare Mountain Medicine PC is located at 820 Bear Tavern Rd, Ewing, NJ 08628. The listed phone number is (786) 556-2111.

What is Bare Mountain Medicine PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bare Mountain Medicine PC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.