Healthcare Provider Details

I. General information

NPI: 1750795597
Provider Name (Legal Business Name): ANGELINE Z MAPA APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELINE Z MACALALAG APN

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 ELMER ST
WESTFIELD NJ
07090-2128
US

IV. Provider business mailing address

1 DIAMOND HILL RD
BERKELEY HEIGHTS NJ
07922-2104
US

V. Phone/Fax

Practice location:
  • Phone: 908-228-3675
  • Fax: 908-789-3122
Mailing address:
  • Phone: 908-273-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00499600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: