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ASHLEY KOURGIALIS PA-C
NPI 1639665441
Physician Assistant - Medical in Hackensack, NJ

Active since July 04, 2018PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-5430 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 4, 2021, May 24, 2021, Oct 16, 2020 and 2 more (5 updates tracked since 2018).

About Ashley Kourgialis Pa-c NPPES

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

ASHLEY KOURGIALIS PA-C (NPI 1639665441) is an individual medical provider in Hackensack, New Jersey and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639665441
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameASHLEY KOURGIALISCredential: PA-C
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect AveHackensack, NJ 07601-1915
Phone(551) 996-5430
Sole ProprietorNo
Enumeration DateJuly 4, 2018
Last NPPES UpdateJune 21, 20225 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
✔ NPI 1639665441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X
30 PROSPECT AVE, Hackensack, NJ 07601
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12120 L St NW Ste 450Washington, DC 20037-1541 · Phone (202) 741-2904
Location 2111 Michigan Ave NWWashington, DC 20010-2916 · Phone (202) 476-4177

Other Identifiers 1

Other25MP00614100NJ · Nj State Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Kourgialis Pa-c 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.

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. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
JOSE DESCHAMPS
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802

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 Ashley Kourgialis's NPI number?

The NPI number for Ashley Kourgialis is 1639665441. It was assigned to this individual provider in the NPPES registry on July 4, 2018.

Where is Ashley Kourgialis located?

Ashley Kourgialis practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-5430.

What is Ashley Kourgialis's specialty?

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

Is Ashley Kourgialis enrolled in Medicare?

Yes. Ashley Kourgialis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Kourgialis was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.