Active NPIIndividual provider

Donna J Destaso

Physician Assistant in Englewood Cliffs, New Jersey

NPI Number1194333534
Practice location
910 Sylvan Ave Ste 100, Englewood Cliffs, NJ 07632-3308
Fax
—
Last updated
December 26, 2023

Donna Jean Destaso is a Physician Assistant based in Englewood Cliffs, NJ. Donna Jean Destaso practices in Englewood Cliffs, NJ. The NPI Number for Donna Jean Destaso is 1194333534 and holds a License No. 25MP00579800 (NJ). The current practice location address for Donna Jean Destaso is 910 Sylvan Ave Ste 100, Englewood Cliffs, NJ 07632-3308 and can be reached out via phone at 201-569-2770.

Provider Profile Details

NPI Number
1194333534
Provider Name
Donna Jean Destaso
Provider Entity Type
Individual
Gender
Female
Address
910 Sylvan Ave Ste 100, Englewood Cliffs, NJ 07632-3308
Phone Number
201-569-2770
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2020
Last Update Date
December 26, 2023
Certification Date
August 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
910 Sylvan Ave Ste 100
Englewood Cliffs, NJ 07632-3308
Zip
07632-3308
Phone Number
201-569-2770
Englewood Cliffs, NJ 07632Get directions →

Provider Business Mailing Address Details

Address
302 Hopper CT
Franklin Lakes, NJ 07417-1143
City
Franklin Lakes
State
NJ
Zip
07417-1143
Phone Number
201-805-3763

License Information

License Number
25MP00579800
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.

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Frequently Asked Questions

What is the NPI number of Donna J Destaso?

The NPI number of Donna J Destaso is 1194333534. It was assigned on July 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Donna J Destaso?

Donna J Destaso is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00579800.

Where does Donna J Destaso practice?

The practice location is 910 Sylvan Ave Ste 100, Englewood Cliffs, NJ 07632-3308. The office can be reached at 201-569-2770 (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 1194333534 directly on the NPPES registry website.

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