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KARISSA BOURBEAU
NPI 1720600034
Physician Assistant in Marmora, NJ

Active since May 08, 2020
44 MARGATE AVE, MARMORA, NJ 08223(609) 816-4789 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2020, May 8, 2020 (2 updates tracked since 2020).

About Karissa Bourbeau NPPES

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

KARISSA BOURBEAU (NPI 1720600034) is an individual physician assistant in Marmora, New Jersey, licensed in New Jersey (25MP00570500) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1720600034
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKARISSA BOURBEAU
Location Address44 MARGATE AVEMarmora, NJ 08223-1603
Mailing Address44 Margate AveMarmora, NJ 08223-1603
Phone(609) 816-4789
Sole ProprietorNo
Enumeration DateMay 8, 2020
Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1720600034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00570500
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.
44 MARGATE AVE, Marmora, NJ 08223
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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 Karissa Bourbeau's NPI number?

The NPI number for Karissa Bourbeau is 1720600034. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is Karissa Bourbeau located?

Karissa Bourbeau practices at 44 Margate Ave, Marmora, NJ 08223. The listed phone number is (609) 816-4789.

What is Karissa Bourbeau'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 Karissa Bourbeau was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.