Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Ms. Marisa H Mckibban, P.A.

Physician Assistant in East Orange, NJ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174607600

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Registry record

Entity type Individual (Type 1)

Name Ms. Marisa H Mckibban

Credential P.A.

Sex Female

Practice address East Orange, NJ, 07018

Phone (973) 470-3000

Fax (973) 470-3506

Enumeration date Oct 24, 2006

Last updated in NPPES Nov 1, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 25MP00167000 (NJ) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Marisa Mckibban?

The National Provider Identifier (NPI) for Marisa Mckibban is 1174607600, a Type 1 (individual) record in the CMS NPPES registry.

Where does Marisa Mckibban practice?

The practice location on file with NPPES is in East Orange, NJ. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-01.