Individual provider · Type 1 NPI

Daniella Tavares

Physician Assistant · Hackensack, NJ

NPI number 1962010447 Active

Practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Mailing address

120 President Rd
Township Of Washington, NJ 07676-5226

Other practice locations

  • 4422 3rd Ave, Bronx, NY 10457-2545 · (201) 206-7789

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700X25MP00618400 (NJ)
Surgical Physician Assistant 363AS0400XNone listed
Physician Assistant Primary 363A00000X025366 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962010447

Daniella Tavares's National Provider Identifier is 1962010447, issued on Jul 21, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hackensack, NJ. The record was last updated on Nov 25, 2022.