SANDRA KIROLLOS


Address: 3626 Route 1 N, Princeton, NJ 08540-5922
Phone: 6099453611

SANDRA KIROLLOS (NPI# 1568022440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568022440
Entity Type Individual
Full Name SANDRA KIROLLOS
Credential PA-C
Practice Address 3626 Route 1 N
Princeton
NJ 08540-5922
Practice Telephone 6099453611
Mailing Telephone 6099453611
Enumeration Date 2019-06-13
Last Update Date 2019-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
300a Princeton Hightstown Rd Ste 202, East Windsor, NJ 085201421 6093719100

Office Location

Street Address 3626 ROUTE 1 N
City PRINCETON
State NJ
Zip Code 08540-5922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083669618 Tara Rivera Family Medicine 3626 Route 1 N, Princeton, NJ 08540-5922 2006-05-23
1609422625 Kc Medical Pllc Internal Medicine 3626 Route 1 N, Princeton, NJ 08540-5922 2019-08-15
1568922946 Julia Pojawis Physician Assistant 3626 Route 1 N, Princeton, NJ 08540-5922 2019-03-22
1861999740 Patricia Lee Nurse Practitioner 3626 Route 1 N, Princeton, NJ 08540-5922 2018-04-09
1275869802 Kane Wound Care LLC Internal Medicine 3626 Route 1 N, Princeton, NJ 08540-5922 2009-11-02
1134290224 Haresh Shaba Kane Internal Medicine 3626 Route 1 N, Princeton, NJ 08540 2006-11-13
1194751487 Carl C Hoyler Internal Medicine 3626 Route 1 N, Princeton, NJ 08540-5922 2006-06-25
1831133149 Bhagyalakshmi Sastri Internal Medicine 3626 Route 1 N, Princeton, NJ 08540-5922 2006-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003420613 Samantha Beatriz Manzano Pharmacist 301 N Harrison Street, Princeton, NJ 08540 2020-09-01
1306485768 Allies, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 414 Freedom Blvd, Princeton, NJ 08540 2020-01-03
1124667589 Allies, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 415 Freedom Blvd, Princeton, NJ 08540 2020-01-03
1215576673 Allies, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 416 Freedom Blvd, Princeton, NJ 08540 2020-01-03
1508405929 Allies, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 411 Freedom Blvd, Princeton, NJ 08540 2020-01-02
1992369698 Suzanne Haggerty Social Worker 716 Executive Drive, Princeton, NJ 08540 2019-04-28
1700349552 Pdp Associates LLC Social Worker 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 2019-04-09
1245722438 Kyle Bonner Social Worker 166 Bunn Dr Ste 105, Princeton, NJ 08540 2018-06-04
1942700125 Lifetouch Behavioral Health, LLC Community/Behavioral Health 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 2018-02-14
1912407271 Princeton Psychiatry & Consulting, LLC Psychiatry & Neurology 601 Ewing St, Suite C-10, Princeton, NJ 08540 2018-02-13
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205464724 Shraddha S Patel Physician Assistant 29 Goldstar Dr, Princeton, NJ 08540-8578 2020-03-30
1538702154 Sahara Stanley Physician Assistant 104 Mahood Ave, Princeton, WV 24740-2617 2019-10-27
1205210853 Homer K Lester Physician Assistant 112 12th St, Princeton, WV 24740-2312 2015-07-14
1285039420 Deaconess Clinic, Inc. Physician Assistant 1414 W Broadway St, Princeton, IN 47670-1142 2014-10-30
1154738839 Brittany Hope Jewell Physician Assistant 508 New Hope Rd Ste 102, Princeton, WV 24740-2265 2014-07-15
1861638561 Adeyemi Babatunde Williams Physician Assistant 60 Hoover Ave, Princeton, NJ 08540-4639 2008-12-30
1184793556 Joseph Harold Thornton Physician Assistant Princeton University Health, Mccosh Health Center, Princeton, NJ 08544-0001 2006-11-07
1104919828 Leah D Petrunger Physician Assistant 150 Misty Lane, Princeton, WV 24740 2006-10-02
1437756350 Olivia N Dudley Physician Assistant 325 Princeton Ave, Princeton, NJ 08540-1617 2020-10-04
1952919417 Madelyn L Schwartz Physician Assistant 325 Princeton Ave, Princeton, NJ 08540-1617 2020-07-21
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Competitor

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City PRINCETON
Zip Code 08540

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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