Healthcare Provider Details

I. General information

NPI: 1043123318
Provider Name (Legal Business Name): ARIELLA MAYA SHLUGLEYT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 FRANKLIN AVE STE 250
FRANKLIN LAKES NJ
07417-1306
US

IV. Provider business mailing address

8 CROOKED HL
OAKLAND NJ
07436-2354
US

V. Phone/Fax

Practice location:
  • Phone: 844-777-0910
  • Fax:
Mailing address:
  • Phone: 201-888-3807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: