Aliza Black
Physician Assistant in Englewood, New Jersey
1417387572- Practice location
- 78 Franklin St, Englewood, NJ 07631-3616
- Phone
- 917-776-8725
- Fax
- —
- Last updated
- April 26, 2021
Aliza Black is a Physician Assistant based in Englewood, NJ. Aliza Black practices in Englewood, NJ. The NPI Number for Aliza Black is 1417387572 and holds a License No. 017080 (NY). The current practice location address for Aliza Black is 78 Franklin St, Englewood, NJ 07631-3616 and can be reached out via phone at 917-776-8725.
Provider Profile Details
- NPI Number
- 1417387572
- Provider Name
- Aliza Black
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 78 Franklin St, Englewood, NJ 07631-3616
- Phone Number
- 917-776-8725
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Other Names
- -- Aliza Berkowitz, PA (Former Name)
- Provider Enumeration Date
- November 26, 2013
- Last Update Date
- April 26, 2021
- Certification Date
- April 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 78 Franklin St
Englewood, NJ 07631-3616 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-3616
- Phone Number
- 917-776-8725
Provider Business Mailing Address Details
- Address
- 78 Franklin St
Englewood, NJ 07631-3616 - City
- Englewood
- State
- NJ
- Zip
- 07631-3616
- Phone Number
- 917-776-8725
License Information
- License Number
- 017080
- License State
- NY
- Taxonomy
- Physician Assistant · 363A00000X · 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 Aliza Black?
The NPI number of Aliza Black is 1417387572. It was assigned on November 26, 2013 and is currently active in the NPPES registry.
What is the specialty of Aliza Black?
Aliza Black is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 017080.
Where does Aliza Black practice?
The practice location is 78 Franklin St, Englewood, NJ 07631-3616. The office can be reached at 917-776-8725 (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 1417387572 directly on the NPPES registry website.