Individual provider Active NPI

Priscila Ayala, PA-C

  • Medical Physician Assistant
  • Camden, NJ
National Provider Identifier
1053562074
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00194400 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(856) 342-3150
Fax
(856) 968-8418
NPI assigned
Oct 8, 2008
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP0019440 NJ
Medical Physician Assistant 363AM0700X MA320017L PA
Medical Physician Assistant 363AM0700X 25MP00194400 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091202000158 PA Practitioner - Physician Assistant 8224177464 Reassigns benefits to 3 organizations
I20220503001012 NJ Practitioner - Physician Assistant 8224177464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Physician Offices PAGroup PAC ID 2860396611, 326 clinicians
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

1103 N Kings Hwy 203
Cherry Hill, NJ 08034
Phone (856) 321-1919

1505 W Sherman Ave
Vineland, NJ 08360-6912
Phone (856) 641-7799

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

23 Cooper PLZ
Suite 311
Camden, NJ 08103-1461
Phone (856) 342-3044

333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (856) 575-4500

335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755

501 Front St
Elmer, NJ 08318-2101
Phone (856) 358-7557

501 N Kings Hwy
Cherry Hill, NJ 08034
Phone (856) 667-3300

509 N Broad St
Woodbury, NJ 08096-1617
Phone (856) 845-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP0019440NJMDPhysician Assistant
25MP00194400NJMDMedical Physician Assistant
MA320017LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Aug 31, 2016 Accepting new patients
University of Penn - Medical Group CurrentSince Jan 12, 2010 Accepting new patients
Clinical Care Associates of the University of CurrentSince Apr 2, 2022 Accepting new patients
Community Health Care, Inc. CurrentSince Oct 3, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 12, 2010 Accepting new patients
Cooper Care Alliance, PC PastSince Dec 27, 2021 Accepting new patients

Locations

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

230 W Washington Sq
Fl 4
Philadelphia, PA 19106
Phone (215) 829-3561

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • Direct secure messaging: payala129876@direct.cooperhealth.edu
  • Direct secure messaging: priscila.ayala.p1@direct.cchn.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1053562074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-3150",
            "fax_number": "856-968-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "PRISCILA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP0019440",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA320017L",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00194400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.