NPI 1083399836 · live from the CMS NPI Registry
Lellas Alhallak, PA-C
Physician Assistant, Medical in Belleville, NJ. National Provider Identifier 1083399836, active.
NPI record
| NPI | 1083399836 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1 Clara Maass Dr, Belleville, NJ 07109 |
| Practice phone | 973-450-2000 |
| Mailing address | 31 Busse St, Lincoln Park, NJ 07035 |
| Enumerated | June 20, 2023 |
| Last updated | June 20, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 25MP00789200 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.