VANESSA DISLA PA NPI 1801090253

NPI Information

  • NPI: 1801090253
  • Provider Name: VANESSA DISLA, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 PROSPECT AVE
    HACKENSACK, NJ
    ZIP 07601
  • Phone: (551) 996-4778

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NPI Details

Vanessa Disla, PA is a surgical physician assistant in Hackensack, NJ. Vanessa Disla, PA NPI is 1801090253. 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:

30 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601-915
Phone: (551) 996-4778

The NPI 1801090253 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 3/25/2020.

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
1363AS0400XPhysician AssistantSurgicalPA9105002FLORIDANo
2363AS0400XPhysician AssistantSurgical25MP00184500NEW JERSEYYes

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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