Individual provider Active NPI

Ana Urriola, PA

  • Medical Physician Assistant
  • Paterson, NJ
National Provider Identifier
1235361106
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP002225000 Issued in NJ
Practice address
680 Broadway
Paterson, NJ 07514-1422
Phone
(973) 278-8818
NPI assigned
Aug 11, 2009
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP002225000 NJ Primary

Addresses

Primary practice location

680 Broadway
Paterson, NJ 07514-1422

Mailing address

1033 Route 46
Ste G1
Clifton, NJ 07013-2448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221000570 NJ Practitioner - Physician Assistant 2466729066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prevention Clinics LLCGroup PAC ID 3173830445, 4 clinicians

Practice addresses (Care Compare)

1033 Route 46
Suite G3
Clifton, NJ 07013-2473
Phone (973) 777-3711

1033 Route 46 E
Suite G1
Clifton, NJ 07013-2448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP002225000NJMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: ana.urriola.1@18490.direct.athenahealth.com
  • Direct secure messaging: aurriola@preventionclinics.gwaydirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1235361106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 ROUTE 46",
            "address_2": "STE G1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141422",
            "telephone_number": "973-278-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRIOLA",
        "first_name": "ANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP002225000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.