Active NPIIndividual provider

Emma E Mircovich, PA-C

Physician Assistant in Nutley, New Jersey

NPI Number1982590238
Practice location
123 Metro Blvd, Nutley, NJ 07110-6101
Fax
—
Last updated
June 14, 2025

Emma Elaine Mircovich is a Physician Assistant based in Nutley, NJ. Emma Elaine Mircovich practices in Nutley, NJ and has the professional credentials of PA-C. The NPI Number for Emma Elaine Mircovich is 1982590238. The current practice location address for Emma Elaine Mircovich is 123 Metro Blvd, Nutley, NJ 07110-6101 and can be reached out via phone at 862-660-5000.

Provider Profile Details

NPI Number
1982590238
Provider Name
Emma Elaine Mircovich
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
123 Metro Blvd, Nutley, NJ 07110-6101
Phone Number
862-660-5000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2025
Last Update Date
June 14, 2025
Certification Date
June 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Metro Blvd
Nutley, NJ 07110-6101
City
Nutley
Zip
07110-6101
Phone Number
862-660-5000
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
123 Metro Blvd
Nutley, NJ 07110-6101
City
Nutley
State
NJ
Zip
07110-6101
Phone Number
862-660-5000

License Information

Taxonomy
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 Emma E Mircovich, PA-C?

The NPI number of Emma E Mircovich, PA-C is 1982590238. It was assigned on June 14, 2025 and is currently active in the NPPES registry.

What is the specialty of Emma E Mircovich, PA-C?

Emma E Mircovich, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Emma E Mircovich, PA-C practice?

The practice location is 123 Metro Blvd, Nutley, NJ 07110-6101. The office can be reached at 862-660-5000 (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 1982590238 directly on the NPPES registry website.

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