Individual provider Active NPI

Pamela Lizette Ayala Baldeon

  • Physician Assistant
  • Clifton, NJ
National Provider Identifier
1831936236
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
855 Valley Rd Ste 200
Clifton, NJ 07013-2441
Phone
(844) 666-2774
Fax
(201) 392-3571
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

855 Valley Rd Ste 200
Clifton, NJ 07013-2441

Mailing address

335 Woodland Ave
Cherry Hill, NJ 08002-2263
Phone (856) 650-6042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1831936236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 WOODLAND AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022263",
            "telephone_number": "856-650-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 VALLEY RD STE 200",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132441",
            "telephone_number": "844-666-2774",
            "fax_number": "201-392-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA BALDEON",
        "first_name": "PAMELA",
        "middle_name": "LIZETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.