Ms. Idalissie Altagracia Peguero
APN, PMHNPBC | Nurse Practitioner
550 Broad St Ste 606, Newark
New Jersey, 07102-4537
201-822-1161
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 |
| Phone: | 201-822-1161 |
| Fax: | 877-485-8918 |
Professional Identification Codes:
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.