Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497455695 Individual Practitioner Female Practitioner

Charly Anne Bisso

Physician Assistant • Millburn, NJ

Professional Overview & Biography Verified Profile Summary

Charly Bisso is a registered healthcare professional specializing in Physician Assistant in Millburn, NJ. Practice services are available at 90 MILLBURN AVE STE 206 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

90 Millburn Ave Ste 206

Millburn, NJ 070411933

Telephone 9737637546
Associated Practice Facility / Clinic
🏢 Ovadia Plastic Surgery Llc Facility NPI 1699638502

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Millburn, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Millburn, NJ (3413 Statewide)

Telehealth Adoption Rate
11.1% 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: 2024-12-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00770400

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1124249644

Doctor of Medicine (M.D.)

Dr. Jessica Cleary , DNP

Nurse Practitioner - Family

NPI 1164102836

Doctor of Nursing Practice

Carrie Hammer , NP

Nurse Practitioner - Family

NPI 1730595174

Nurse Practitioner

Ariana Brown , PA-C

Physician Assistant

NPI 1962366989

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location December 26, 2024

Registered at 90 MILLBURN AVE STE 206, MILLBURN, NJ 070411933 (Tel: 9737637546)

📍
Updated Business Mailing Address December 26, 2024

Registered at 124 TABOR ST, BRENTWOOD, NY 117177912 (Tel: 9175720227)

📍
Updated Practice Location May 31, 2023

Registered at VCARE URGENT AND PRIMARY CARE, 485 GEORGES RD, DAYTON, NJ 08810 (Tel: 8776235879)

📍
Updated Business Mailing Address May 31, 2023

Registered at VCARE URGENT AND PRIMARY CARE, 485 GEORGES RD, DAYTON, NJ 08810 (Tel: 8776235879)

📍
Updated Practice Location May 04, 2023

Registered at 2090 NJ-27, EDISON, NJ 08817 (Tel: 9175720227)

📍
Updated Business Mailing Address May 04, 2023

Registered at 2090 NJ-27, EDISON, NJ 08817 (Tel: 9175720227)

NPI Profile Active March 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2023

Registered at 1314 QUAIL RIDGE DR, PLAINSBORO, NJ 085362264 (Tel: 9175720227)

📍
Updated Business Mailing Address March 06, 2023

Registered at 1314 QUAIL RIDGE DR, PLAINSBORO, NJ 085362264 (Tel: 9175720227)

👤
Provider Name / Credentials Updated March 06, 2023

Recorded as CHARLY BISSO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Physician Assistant (License #25MP00770400 in NJ)

🟢
Initial NPI Registration & Enumeration March 06, 2023

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: 1497455695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2023
Last Update: December 26, 2024
Sole Proprietor: No

Mailing Address

124 Tabor St

Brentwood, NY 117177912

Phone: 9175720227

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.