Active NPIIndividual provider

Ms. Desiree Goenaga, PA-C

Physician Assistant in Clifton, New Jersey

NPI Number1457998320
Practice location
1003 Main Ave Ste 101, Clifton, NJ 07011-2333
Fax
—
Last updated
August 25, 2021

Desiree Goenaga is a Physician Assistant based in Clifton, NJ. Desiree Goenaga practices in Clifton, NJ and has the professional credentials of PA-C. The NPI Number for Desiree Goenaga is 1457998320 and holds a License No. MA061236 (PA). The current practice location address for Desiree Goenaga is 1003 Main Ave Ste 101, Clifton, NJ 07011-2333 and can be reached out via phone at 973-928-3088.

Provider Profile Details

NPI Number
1457998320
Provider Name
Desiree Goenaga
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1003 Main Ave Ste 101, Clifton, NJ 07011-2333
Phone Number
973-928-3088
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 10, 2019
Last Update Date
August 25, 2021
Certification Date
August 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1003 Main Ave Ste 101
Clifton, NJ 07011-2333
Zip
07011-2333
Phone Number
973-928-3088
Clifton, NJ 07011Get directions →

Provider Business Mailing Address Details

Address
251 E Bringhurst St
Philadelphia, PA 19144-1799
City
Philadelphia
State
PA
Zip
19144-1799
Phone Number
215-844-1020
Fax Number
215-844-2702

License Information

License Number (1)
MA061236
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00548400
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 Ms. Desiree Goenaga, PA-C?

The NPI number of Ms. Desiree Goenaga, PA-C is 1457998320. It was assigned on December 10, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Desiree Goenaga, PA-C?

Ms. Desiree Goenaga, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA061236.

Where does Ms. Desiree Goenaga, PA-C practice?

The practice location is 1003 Main Ave Ste 101, Clifton, NJ 07011-2333. The office can be reached at 973-928-3088 (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 1457998320 directly on the NPPES registry website.

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