MEDICARE: ASHLEY MANCINI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	25MP00616500	NJ

General Provider Information

NPI Number	:	1912585902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MANCINI PA-C

Provider Business Mailing Address
First Line	:	24 RED SCHOOL HOUSE RD
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-3227
Country	:	US
Telephone Number	:	908-894-2037
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 WILLIAMSON ST
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07202-3625
Country	:	US
Telephone Number	:	908-994-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2021
Last Update Date	:	02/12/2026

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Directions to “ ASHLEY MANCINI PA-C” Practice Location

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