Provider Demographics
NPI:1912428426
Name:URSICK, GABRIELLA ALEXA (PA-C)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:ALEXA
Last Name:URSICK
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:200 SCHULZ DR STE 2
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-6745
Mailing Address - Country:US
Mailing Address - Phone:732-426-3420
Mailing Address - Fax:732-747-2606
Practice Address - Street 1:83 HANOVER RD STE 260
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1520
Practice Address - Country:US
Practice Address - Phone:732-426-3420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2025-05-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical