ANGELICE GRASSO


Address: 3 Holly Ln, Garfield, NJ 07026-3565
Phone: 2018358589

ANGELICE GRASSO (NPI# 1407471493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407471493
Entity Type Individual
Full Name ANGELICE GRASSO
Practice Address 3 Holly Ln
Garfield
NJ 07026-3565
Practice Telephone 2018358589
Mailing Telephone 2018358589
Enumeration Date 2020-06-15
Last Update Date 2020-06-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3 HOLLY LN
City GARFIELD
State NJ
Zip Code 07026-3565

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1801144621 Engin Bahce Social Worker 21 Maitland Place, Garfield, NJ 07026 2012-08-28
1437422607 Rebisz Chiropractic LLC Chiropractor 430 Midland Ave., Garfield, NJ 07026 2012-02-17
1689970170 Wellcomecare Medical Professionals PC Emergency Medicine 210 Passaic St, Garfield, NJ 07026 2011-02-01
1962712489 Vineisha Singh Dentist 117 Midland Ave., Garfield, NJ 07026 2010-10-18
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1467062463 Erica Josephine Lobuglio Physician Assistant 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 2020-08-04
1063036358 Jaina Marie Lumkong Physician Assistant 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 2020-06-02
1740804384 Allison Sy Tan Physician Assistant 10 Bahr Cir, Verona, NJ 07044-3200 2020-05-29
1114560851 Brian Paul Leonhardt Physician Assistant 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 2019-10-25
1740830413 Atara Hagler Physician Assistant 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 2019-09-16
1568943058 Ekaterina M Rezvin Physician Assistant 80 Woodland Park Dr, Tenafly, NJ 07670-3028 2018-08-23
1225550353 Kristen Cordiello Physician Assistant 1610 Route 88 Ste 203, Brick, NJ 08724-3018 2017-07-11
1710408232 Angela Marie Freedman Physician Assistant 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 2017-07-06
1063932259 Matthew Gabriel Physician Assistant 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 2017-06-20
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Competitor

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City GARFIELD
Zip Code 07026

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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