Active NPIIndividual provider

Alyssa A Criscuolo, PA-C

Physician Assistant, Surgical in Englewood, New Jersey

NPI Number1831801414
Practice location
350 Engle St Rm 4503, Englewood, NJ 07631-1808
Fax
201-894-3764
Last updated
December 15, 2022

Alyssa Anne Criscuolo is a Physician Assistant, Surgical based in Englewood, NJ. Alyssa Anne Criscuolo practices in Englewood, NJ and has the professional credentials of PA-C. The NPI Number for Alyssa Anne Criscuolo is 1831801414 and holds a License No. 25MP00746400 (NJ). The current practice location address for Alyssa Anne Criscuolo is 350 Engle St Rm 4503, Englewood, NJ 07631-1808 and can be reached out via phone at 201-894-3893 and via fax at 201-894-3764.

Provider Profile Details

NPI Number
1831801414
Provider Name
Alyssa Anne Criscuolo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
350 Engle St Rm 4503, Englewood, NJ 07631-1808
Phone Number
201-894-3893
Fax Number
201-894-3764
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
December 15, 2022
Last Update Date
December 15, 2022
Certification Date
December 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Engle St Rm 4503
Englewood, NJ 07631-1808
Zip
07631-1808
Phone Number
201-894-3893
Fax Number
201-894-3764
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
95 Mohawk Trl
Ringwood, NJ 07456-2950
City
Ringwood
State
NJ
Zip
07456-2950
Phone Number
973-934-8187

License Information

License Number
25MP00746400
License State
NJ
Taxonomy
Physician Assistant, Surgical · 363AS0400X · 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 Alyssa A Criscuolo, PA-C?

The NPI number of Alyssa A Criscuolo, PA-C is 1831801414. It was assigned on December 15, 2022 and is currently active in the NPPES registry.

What is the specialty of Alyssa A Criscuolo, PA-C?

Alyssa A Criscuolo, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00746400.

Where does Alyssa A Criscuolo, PA-C practice?

The practice location is 350 Engle St Rm 4503, Englewood, NJ 07631-1808. The office can be reached at 201-894-3893 (phone) or 201-894-3764 (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 1831801414 directly on the NPPES registry website.

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