NPI 1912763210 · live from the CMS NPI Registry
Melissa Arca
Physician Assistant in Lake Hopatcong, NJ. National Provider Identifier 1912763210, active.
NPI record
| NPI | 1912763210 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 174 Edison Rd, Lake Hopatcong, NJ 07849 |
| Practice phone | 973-663-1300 |
| Mailing address | 669 Broad St, Clifton, NJ 07013 |
| Enumerated | February 23, 2024 |
| Last updated | December 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Urgent Care | 261QU0200X | 25MP00834900 (NJ) |
| Physician Assistant primary | 363A00000X | 25MP00834900 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.