Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922519271 Individual Practitioner Female Practitioner

Traci Blake , PA

Physician Assistant • Englewood, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Traci Blake, PA is a certified Physician Assistant practicing in Englewood, NJ. With approximately 9 years of clinical experience since graduating from Mercy College in 2017, Traci Blake delivers high-quality medical care to the local community at 401 S VAN BRUNT ST STE 3.

Traci Blake is affiliated with Physician Partners Of Englewood Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 S Van Brunt St Ste 3

Englewood, NJ 076314600

Telephone 2015692770
Fax 2015691774
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Mercy College

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Englewood, NJ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -2.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Englewood, NJ (3413 Statewide)

Telehealth Adoption Rate
11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (9 Years) 9 Yrs
Englewood Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
3,928 48 $1.00 $0.13
99213 Established patient office or other outpatient visit, typically 15 minutes
233 170 $165.00 $89.33
20610 Aspiration and/or injection of fluid from large joint
127 90 $261.50 $73.17
73564 X-ray of knee, 4 or more views
99 84 $145.00 $47.49
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
77 39 $205.00 $118.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
67 67 $240.00 $108.04
72170 X-ray of pelvis, 1-2 views
33 30 $115.00 $28.27
73502 X-ray of hip, 2-3 views
28 25 $150.00 $48.29
73030 X-ray of shoulder, minimum of 2 views
18 14 $105.00 $35.47
72020 X-ray of spine, 1 view
18 18 $80.00 $24.53
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
17 12 $1180.00 $666.48

Medical Specialties & State Licenses

CMS Verified: 2022-07-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00449500

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 021388

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.

Hospital & Practice Group Affiliations

Physician Partners Of Englewood Pc

350 Engle St, Englewood, NJ 076311808

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Dr. Kimberly Koury , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1043672017

Doctor of Medicine (M.D.)

Brittany Morales , PA-C

Physician Assistant

NPI 1063030211

Physician Assistant (Certified)

Dr. James Cole , MD

Orthopaedic Surgery

NPI 1114971595

Doctor of Medicine (M.D.)

Dr. Asit Shah , MD

Orthopaedic Surgery

NPI 1184676223

Doctor of Medicine (M.D.)

Donna Destaso

Physician Assistant

NPI 1194333534
Zachary Murray , PA-C, ATC

Physician Assistant

NPI 1255799821

Physician Assistant (Certified), Certified Athletic Trainer

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 18, 2022

Registered at 401 S VAN BRUNT ST STE 3, ENGLEWOOD, NJ 076314600 (Tel: 2015692770)

📍
Updated Business Mailing Address July 18, 2022

Registered at 401 S VAN BRUNT ST STE 3, ENGLEWOOD, NJ 076314600 (Tel: 2015692770)

👤
Provider Name / Credentials Updated April 21, 2022

Recorded as TRACI BLAKE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2022

Physician Assistant (License #021388 in NY)

NPI Profile Active October 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2017

Registered at 680 KINDERKAMACK RD STE 300, ORADELL, NJ 076491600 (Tel: 2013422550)

📍
Updated Business Mailing Address October 13, 2017

Registered at 680 KINDERKAMACK RD STE 300, ORADELL, NJ 076491600 (Tel: 2013422550)

👤
Provider Name / Credentials Updated October 13, 2017

Recorded as TRACI CORRA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2017

Physician Assistant (License #25MP00449500 in NJ)

🟢
Initial NPI Registration & Enumeration October 13, 2017

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: 1922519271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2017
Last Update: July 18, 2022
Sole Proprietor: No

Mailing Address

401 S Van Brunt St Ste 3

Englewood, NJ 076314600

Phone: 2015692770

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.