Mr. Misael Dimatulac, NURSE PRACTITIONER
Nurse Practitioner, Family in Hazlet, New Jersey
1043790165- Practice location
- 43 Maple Dr, Hazlet, NJ 07730-1333
- Phone
- 646-525-9621
- Fax
- —
- Last updated
- August 17, 2018
Misael Dimatulac is a Nurse Practitioner, Family based in Hazlet, NJ. Misael Dimatulac practices in Hazlet, NJ and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Misael Dimatulac is 1043790165 and holds a License No. 343384 (NY). The current practice location address for Misael Dimatulac is 43 Maple Dr, Hazlet, NJ 07730-1333 and can be reached out via phone at 646-525-9621.
Provider Profile Details
- NPI Number
- 1043790165
- Provider Name
- Misael Dimatulac
- Credential
- NURSE PRACTITIONER
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 43 Maple Dr, Hazlet, NJ 07730-1333
- Phone Number
- 646-525-9621
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 17, 2018
- Last Update Date
- August 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 43 Maple Dr
Hazlet, NJ 07730-1333 - City
- Hazlet
- State
- New Jersey
- Zip
- 07730-1333
- Phone Number
- 646-525-9621
Provider Business Mailing Address Details
- Address
- 43 Maple Dr
Hazlet, NJ 07730-1333 - City
- Hazlet
- State
- NJ
- Zip
- 07730-1333
- Phone Number
- 646-525-9621
License Information
- License Number
- 343384
- License State
- NY
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Misael Dimatulac, NURSE PRACTITIONER?
The NPI number of Mr. Misael Dimatulac, NURSE PRACTITIONER is 1043790165. It was assigned on August 17, 2018 and is currently active in the NPPES registry.
What is the specialty of Mr. Misael Dimatulac, NURSE PRACTITIONER?
Mr. Misael Dimatulac, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 343384.
Where does Mr. Misael Dimatulac, NURSE PRACTITIONER practice?
The practice location is 43 Maple Dr, Hazlet, NJ 07730-1333. The office can be reached at 646-525-9621 (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 1043790165 directly on the NPPES registry website.