Individual provider Active NPI

Delaney Micaylah Duncan, PA

  • Physician Assistant
  • Wall Township, NJ
National Provider Identifier
1215728118
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00934700 Issued in NJ
Practice address
1959 State Route 34 Ste 202
Wall Township, NJ 07719-9790
Phone
(732) 943-1811
NPI assigned
May 13, 2025
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00934700 NJ Primary
Physician Assistant 363A00000X MA066652 PA

Addresses

Primary practice location

1959 State Route 34 Ste 202
Wall Township, NJ 07719-9790

Mailing address

1959 State Route 34 Ste 202
Wall Township, NJ 07719-9790
Phone (732) 943-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20250721002918 NJ Practitioner - Physician Assistant 3971019548 Reassigns benefits to 1 organization
I20250902000181 PA Practitioner - Physician Assistant 3971019548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians
Medical Offices of New Jersey Shore LLCGroup PAC ID 8921322520, 11 clinicians

Practice addresses (Care Compare)

1203 Langhorne Newtown Rd
Suite 220
Langhorne, PA 19047-1209
Phone (215) 860-4274

1959 State Route 34
Suite 202
Wall Township, NJ 07719-9790
Phone (301) 928-1697

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Offices of New Jersey Shore, LLC CurrentSince Jan 4, 2026 Accepting new patients
Premier Brain and Spine LLC CurrentSince Aug 1, 2025 Accepting new patients
Premier Brain and Spine, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

1959 State Route 34
Ste 202
Wall Township, NJ 07719
Phone (732) 655-6111

1203 Langhorne Newtown Rd
Ste 220
Langhorne, PA 19047
Phone (215) 860-4274

Interoperability endpoints

  • Direct secure messaging: delaney.duncan.1@21449.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1215728118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 STATE ROUTE 34 STE 202",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199790",
            "telephone_number": "732-943-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 STATE ROUTE 34 STE 202",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199790",
            "telephone_number": "732-943-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "DELANEY",
        "middle_name": "MICAYLAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00934700",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.