NPI 1730648213 · live from the CMS NPI Registry
Sabrina Lynne Alfassa, PA-C
Physician Assistant in Newark, NJ. National Provider Identifier 1730648213, active.
NPI record
| NPI | 1730648213 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 90 Bergen St Fl 7, Newark, NJ 07103 |
| Practice phone | 973-972-8092 |
| Mailing address | 30 Bergen St Rm 1205, Newark, NJ 07107 |
| Enumerated | March 14, 2019 |
| Last updated | February 13, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 023201 (NY) |
| Physician Assistant primary | 363A00000X | 25MP00515400 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.