Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dafna Rachel Wild, PA

Individual provider Physician Assistant · NPI 1174750319

Dafna Rachel Wild, PA is a Physician Assistant in Jersey City, New Jersey. Qualified in 2005, 21 years ago. Practices with Clark Dermatology LLC, a 46-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
21
Licensed in
NJ
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 Pavonia Ave Ste 409
Jersey City, NJ 07310-2778 Not confirmed with CMS for 17 years — call before visiting
Phone: (201) 626-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00209700 (NJ)

Record details

NPI number1174750319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 15, 2009
Last updated in NPPESJune 15, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Clark Dermatology Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients124
Services billed 427 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Clark Dermatology LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 46 clinicians in the practice; 12 are shown here.

Other providers in Jersey City