Healthcare Provider Details

I. General information

NPI: 1598444754
Provider Name (Legal Business Name): JESSICA DORADO PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2023
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ENGLISH CREEK AVE, BLDG 1200, 2ND FL
EGG HARBOR TOWNSHIP NJ
08234
US

IV. Provider business mailing address

2500 ENGLISH CREEK AVE, BLDG 1200, 2ND FL
EGG HARBOR TOWNSHIP NJ
08234
US

V. Phone/Fax

Practice location:
  • Phone: 609-833-9833
  • Fax: 609-652-7868
Mailing address:
  • Phone: 609-833-9833
  • Fax: 609-652-7868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number25MP00993700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA064463
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: