Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEXTER MATA CALDONA
Active Sole ProprietorDEXTER MATA CALDONA is a Nurse Practitioner healthcare provider located in PASSAIC, New Jersey. NPI 1114415155 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PASSAIC, NJ
Registration Details
- NPI Number
- 1114415155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2018 (8.2948512510767 yrs)
- Last Updated
- Apr 25, 2018
- License
-
26NJ00636200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
39 AYCRIGG AVEPASSAIC, NJ, 070555664Browse NJ providers · Browse ZIP 07055
- Phone
- 9739810476
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in PASSAIC, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. ANITA THOMAS | DNP, ANP-BC, CWS | 1245422740 |
| SUNITA PATEL | DNP, ANP-BC | 1992950349 |
| MRS. AMARILIS VILLANUEVA | APN | 1881849065 |
| VANESSA D MONTANEZ | ANP | 1679988935 |
| SHAYNA BERKOWITZ | — | 1912885831 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.