Active NPIIndividual provider

Dara B Facciani, PA-C

Physician Assistant in West Orange, New Jersey

NPI Number1245352707
Practice location
741 Northfield Ave, West Orange, NJ 07052-1174
Fax
—
Last updated
July 18, 2016

Dara Blum Facciani is a Physician Assistant based in West Orange, NJ. Dara Blum Facciani practices in West Orange, NJ and has the professional credentials of PA-C. The NPI Number for Dara Blum Facciani is 1245352707 and holds a License No. 25MT00109600 (NJ). The current practice location address for Dara Blum Facciani is 741 Northfield Ave, West Orange, NJ 07052-1174 and can be reached out via phone at 973-736-9980.

Provider Profile Details

NPI Number
1245352707
Provider Name
Dara Blum Facciani
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
741 Northfield Ave, West Orange, NJ 07052-1174
Phone Number
973-736-9980
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 4, 2007
Last Update Date
July 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
741 Northfield Ave
West Orange, NJ 07052-1174
Zip
07052-1174
Phone Number
973-736-9980
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104
Phone Number
973-736-9980

License Information

License Number (1)
25MT00109600
License State (1)
NJ
License Number (2)
25MP00403400
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 Dara B Facciani, PA-C?

The NPI number of Dara B Facciani, PA-C is 1245352707. It was assigned on April 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dara B Facciani, PA-C?

Dara B Facciani, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MT00109600.

Where does Dara B Facciani, PA-C practice?

The practice location is 741 Northfield Ave, West Orange, NJ 07052-1174. The office can be reached at 973-736-9980 (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 1245352707 directly on the NPPES registry website.

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