Nicolle Segarra, PA-C
Physician Assistant, Medical in West Orange, New Jersey
1417595638- Practice location
- 95 Northfield Ave, West Orange, NJ 07052-4731
- Phone
- 973-325-2266
- Fax
- —
- Last updated
- October 6, 2021
Nicolle Segarra is a Physician Assistant, Medical based in West Orange, NJ. Nicolle Segarra practices in West Orange, NJ and has the professional credentials of PA-C. The NPI Number for Nicolle Segarra is 1417595638 and holds a License No. 25MP00633800 (NJ). The current practice location address for Nicolle Segarra is 95 Northfield Ave, West Orange, NJ 07052-4731 and can be reached out via phone at 973-325-2266.
Provider Profile Details
- NPI Number
- 1417595638
- Provider Name
- Nicolle Segarra
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 95 Northfield Ave, West Orange, NJ 07052-4731
- Phone Number
- 973-325-2266
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 18, 2019
- Last Update Date
- October 6, 2021
- Certification Date
- October 6, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 95 Northfield Ave
West Orange, NJ 07052-4731 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-4731
- Phone Number
- 973-325-2266
Provider Business Mailing Address Details
- Address
- 49 Sheridan Dr Apt 12
Shrewsbury, MA 01545-3839 - City
- Shrewsbury
- State
- MA
- Zip
- 01545-3839
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MP00633800
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · 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 Nicolle Segarra, PA-C?
The NPI number of Nicolle Segarra, PA-C is 1417595638. It was assigned on December 18, 2019 and is currently active in the NPPES registry.
What is the specialty of Nicolle Segarra, PA-C?
Nicolle Segarra, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00633800.
Where does Nicolle Segarra, PA-C practice?
The practice location is 95 Northfield Ave, West Orange, NJ 07052-4731. The office can be reached at 973-325-2266 (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 1417595638 directly on the NPPES registry website.