IndividualActive
Ashley Kourgialis, PA-C
NPI 1639665441 · Medical Physician Assistant · Hackensack, NJ
Provider details
- NPI number
- 1639665441
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Mailing address
30 Prospect Ave
Hackensack, NJ 07601-1915
Registry dates
- Enumerated
- 2018-07-04
- Last updated
- 2022-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.