Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205677291 Individual Practitioner Female Practitioner

Aaliyah Jordan Black , PA-C

Physician Assistant • Hebron, CT

Professional Overview & Biography Verified Profile Summary

Aaliyah Black, PA-C is a registered healthcare professional specializing in Physician Assistant in Hebron, CT. Practice services are available at 21 LIBERTY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21 Liberty Dr

Hebron, CT 06248

Telephone 8602289300
Fax 8602284703
Associated Practice Facility / Clinic
🏢 Dr.amitabh R. Ram Md Llc Facility NPI 1730399379

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hebron, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Hebron, CT (2065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 02, 2026

Registered at 21 LIBERTY DR, HEBRON, CT 06248 (Tel: 8602289300)

📍
Updated Business Mailing Address July 02, 2026

Registered at 41 MASSABESIC DR, AUBURN, NH 030323167 (Tel: 8602289300)

👤
Provider Name / Credentials Updated July 02, 2026

Recorded as AALIYAH BLACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2026

Physician Assistant

NPI Profile Active June 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2024

Registered at 588 LONGMEADOW ST, LONGMEADOW, MA 011062292 (Tel: 4135651000)

📍
Updated Business Mailing Address June 04, 2024

Registered at 588 LONGMEADOW ST, LONGMEADOW, MA 011062292 (Tel: 4135651000)

👤
Provider Name / Credentials Updated June 04, 2024

Recorded as AALIYAH BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 04, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205677291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2024
Last Update: July 02, 2026
Sole Proprietor: Yes

Mailing Address

41 Massabesic Dr

Auburn, NH 030323167

Phone: 8602289300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.