Healthcare Provider Details

I. General information

NPI: 1821968348
Provider Name (Legal Business Name): SARAH DANIELLE MISBAH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 ROUTE 33 FL 4 ACKERMAN
NEPTUNE NJ
07753
US

IV. Provider business mailing address

331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
RED BANK NJ
07701
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-4949
  • Fax: 732-776-4509
Mailing address:
  • Phone: 732-807-0877
  • Fax: 201-751-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00980200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: