Active NPIIndividual provider

Roxanne Pisa, PA

Physician Assistant in Ridgewood, New Jersey

NPI Number1194865071
Practice location
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Fax
201-447-8658
Last updated
April 27, 2009

Roxanne Pisa is a Physician Assistant based in Ridgewood, NJ. Roxanne Pisa practices in Ridgewood, NJ and has the professional credentials of PA. The NPI Number for Roxanne Pisa is 1194865071 and holds a License No. 010744 (NY). The current practice location address for Roxanne Pisa is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 and can be reached out via phone at 201-447-8418 and via fax at 201-447-8658.

Provider Profile Details

NPI Number
1194865071
Provider Name
Roxanne Pisa
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Phone Number
201-447-8418
Fax Number
201-447-8658
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 8, 2007
Last Update Date
April 27, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Zip
07450-2726
Phone Number
201-447-8418
Fax Number
201-447-8658
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
379 Summerhill Dr
Morris Plains, NJ 07950-1180
City
Morris Plains
State
NJ
Zip
07950-1180
Phone Number
973-984-5225

License Information

License Number (1)
010744
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00145000
License State (2)
NJ
Taxonomy (2)
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 Roxanne Pisa, PA?

The NPI number of Roxanne Pisa, PA is 1194865071. It was assigned on February 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Roxanne Pisa, PA?

Roxanne Pisa, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 010744.

Where does Roxanne Pisa, PA practice?

The practice location is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726. The office can be reached at 201-447-8418 (phone) or 201-447-8658 (fax).

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 1194865071 directly on the NPPES registry website.

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