ALISA G. CULLEN PA-C NPI 1003954074

NPI Information

  • NPI: 1003954074
  • Provider Name: ALISA G. CULLEN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 745 NORTHFIELD AVE
    SUITE 4
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 736-0041

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NPI Details

Alisa G. Cullen, PA-C is a medical physician assistant in West Orange, NJ. Alisa G. Cullen, PA-C NPI is 1003954074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

745 NORTHFIELD AVE
SUITE 4
WEST ORANGE, NJ
ZIP 07052-144
Phone: (973) 736-0041
Fax: (973) 736-0044

The enumeration date for this NPI number is 2/2/2007 and was last updated on 12/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical25MP00091800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P81367MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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