Individual provider Active NPI

Ashley L Falis, P.A.

  • Physician Assistant
  • Rockaway, NJ
National Provider Identifier
1730217241
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00104800 Issued in NJ
Practice address
35 Green Pond Rd
Rockaway, NJ 07866-2013
Phone
(973) 586-7447
Fax
(973) 586-7445
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00104800 NJ
Surgical Physician Assistant 363AS0400X 25MP00104800 NJ
Physician Assistant 363A00000X 25MP00104800 NJ Primary

Addresses

Primary practice location

35 Green Pond Rd
Rockaway, NJ 07866-2013

Mailing address

35 Green Pond Rd
Rockaway, NJ 07866-2013
Phone (973) 586-7447

Other practice location 1

214 Commons Way Bldg B
Toms River, NJ 08755-6427
Phone (732) 234-7546

Other practice location 2

1616 Route 72 W
Manahawkin, NJ 08050-5131
Phone (732) 234-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000254 NJ Practitioner - Physician Assistant 2769463199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon SkinGroup PAC ID 5799146015, 3 clinicians

Practice addresses (Care Compare)

214 Commons Way
BLDG B
Toms River, NJ 08755-6427
Phone (732) 234-7546

National Provider Directory

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1730217241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662013",
            "telephone_number": "973-586-7447",
            "fax_number": "973-586-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662013",
            "telephone_number": "973-586-7447",
            "fax_number": "973-586-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Commons Way Bldg B",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087556427",
            "country_code": "US",
            "telephone_number": "732-234-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 Route 72 W",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080505131",
            "country_code": "US",
            "telephone_number": "732-234-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALIS",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00104800",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00104800",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00104800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.