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Contact Information

KATHRYN J BACCI
1912 STATE ROUTE 35 STE 201
OAKHURST, NJ07755-2768
 Phone: 732-389-5004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHRYN J BACCI · (Female)

NPI # 1861075392
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2021
Last updated 01/06/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MP00642500
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • SOUTHERN OCEAN MEDICAL CENTER - (Acute Care)
    1140 RT 72 W
    MANAHAWKIN, NJ 08050
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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