Ms. Idalissie Altagracia Peguero is a Newark, New Jersey based nurse practitioner. Active license number of Ms. Idalissie Altagracia Peguero is 26NJ00838200 for Psych/Mental Health in New Jersey. Her current practice location is 550 Broad St Ste 606, Newark. Patients can reach her at 201-822-1161 or can fax her at 877-485-8918. Ms. Idalissie Altagracia Peguero is APN, PMHNPBC and her NPI number (Unique professional ID assigned by NPPES) is 1689154437. Ms. Idalissie Altagracia Peguero has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Idalissie Altagracia Peguero speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Idalissie Altagracia Peguero
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APN, PMHNPBC
Practice Address:
550 Broad St Ste 606, Newark, New Jersey, 07102-4537
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1689154437
NPI Enumeration Date:
20 Aug, 2018
NPI Last Update On:
10 Oct, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Idalissie Altagracia Peguero are as mentioned below.
License Number
Specialization
State
Status
26NJ00838200
Psych/Mental Health
New Jersey
Primary
26NJ00838200
Nurse Practitioner
New Jersey
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Idalissie Altagracia Peguero such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0655881
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Idalissie Altagracia Peguero 606 Broadway, Paterson, New Jersey
Zip:
07514-1916
Phone Number:
973-523-4000
Patients can reach Ms. Idalissie Altagracia Peguero at 550 Broad St Ste 606, Newark, New Jersey or can call to book an appointment on 201-822-1161.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.