Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIELLA TAVARES
ActiveDANIELLA TAVARES is a Physician Assistant healthcare provider located in HACKENSACK, New Jersey. NPI 1962010447 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HACKENSACK, NJ
Registration Details
- NPI Number
- 1962010447
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2020 (6.0866247759456 yrs)
- Last Updated
- Nov 25, 2022
- Licenses
-
25MP00618400 (NJ)025366 (NY)
Practice Information
- Address
-
30 PROSPECT AVEHACKENSACK, NJ, 076011915Browse NJ providers · Browse ZIP 07601
- Phone
- 5519962000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HACKENSACK, NJ
| Name | Credential | NPI |
|---|---|---|
| GUNJAN KUMAR | P.A.,-C | 1518963412 |
| MR. DESPEE BOCKARIE KONNEH | PA-C | 1417955279 |
| JAMES MINALL | PA | 1114973195 |
| KITABU CEESAY | PA | 1538107750 |
| MICHAEL K MOORE | PA | 1396786612 |
| LAURIE TARE | PA | 1538101811 |
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.