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MIRNA AYOUB PA-C
NPI 1891020459
Physician Assistant in Montclair, NJ

Active since October 14, 2009
1 BAY AVE, MONTCLAIR, NJ 07042(973) 429-6930(973) 429-6209 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 21, 2017, Mar 1, 2017, Feb 17, 2017 (3 updates tracked since 2017).

About Mirna Ayoub Pa-c NPPES

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

MIRNA AYOUB PA-C (NPI 1891020459) is an individual physician assistant in Montclair, New Jersey, licensed in New Jersey (25MP0026900) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1891020459
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIRNA AYOUBCredential: PA-C
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing AddressPo Box 419430Boston, MA 02241-9430 · (201) 666-3900 · Fax (201) 261-0505
Phone(973) 429-6930
Fax(973) 429-6209
Sole ProprietorNo
Enumeration DateOctober 14, 2009
Last NPPES UpdateApril 21, 20173 updates tracked since enumeration
✔ NPI 1891020459 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 · 25MP0026900
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.
1 BAY AVE, Montclair, NJ 07042
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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.

SAMRAH GHANI MD
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
JACLYN TAYLOR SCHMITZ
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MYINT KYI M.D.
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6219
EDWARD PETRARCA LCSW
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Essex County (973) 429-6813
ANN FRANCES VALLONE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6272
ANN SAMIR YASIN IBRAHIM
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
GEORGE JAMES ZACH
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MRS. ESTHER D. BAXAM-SPENCE RN, MSN, CNNP
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6991

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 Mirna Ayoub's NPI number?

The NPI number for Mirna Ayoub is 1891020459. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Mirna Ayoub located?

Mirna Ayoub practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6930.

What is Mirna Ayoub'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 Mirna Ayoub was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.