Active NPIIndividual provider

Ms. Massiel Delacruz, PA

Physician Assistant in Nutley, New Jersey

NPI Number1043460066
Practice location
359 Centre St, Suite1, Nutley, NJ 07110-2791
Fax
—
Last updated
December 8, 2012

Massiel Delacruz is a Physician Assistant based in Nutley, NJ. Massiel Delacruz practices in Nutley, NJ and has the professional credentials of PA. The NPI Number for Massiel Delacruz is 1043460066 and holds a License No. 25MP00201300 (NJ). The current practice location address for Massiel Delacruz is 359 Centre St, Suite1, Nutley, NJ 07110-2791 and can be reached out via phone at 973-667-1500.

Provider Profile Details

NPI Number
1043460066
Provider Name
Massiel Delacruz
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
359 Centre St, Suite1, Nutley, NJ 07110-2791
Phone Number
973-667-1500
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2008
Last Update Date
December 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
359 Centre St
Suite1
Nutley, NJ 07110-2791
City
Nutley
Zip
07110-2791
Phone Number
973-667-1500
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
5 Rutgers St
West Orange, NJ 07052-2511
City
West Orange
State
NJ
Zip
07052-2511

License Information

License Number
25MP00201300
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Nutley, NJ

View all Physician Assistants in Nutley →

Frequently Asked Questions

What is the NPI number of Ms. Massiel Delacruz, PA?

The NPI number of Ms. Massiel Delacruz, PA is 1043460066. It was assigned on September 26, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Massiel Delacruz, PA?

Ms. Massiel Delacruz, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00201300.

Where does Ms. Massiel Delacruz, PA practice?

The practice location is 359 Centre St, Suite1, Nutley, NJ 07110-2791. The office can be reached at 973-667-1500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043460066 directly on the NPPES registry website.

Browse related providers