Ceida Quispe, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00921600 Issued in NJ

Practice address

26 Baldwin St
East Orange, NJ 07017-1302

Phone

(973) 672-1212

NPI assigned

Mar 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Essex Pediatrics

  • Pediatrics Physician
  • East Orange, NJ
  • NPI 1215069687
  NPD (past)

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1407657141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LEGION CT",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051109",
            "telephone_number": "908-230-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BALDWIN ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171302",
            "telephone_number": "973-672-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Speedwell Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079602972",
            "country_code": "US",
            "telephone_number": "973-984-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUISPE",
        "first_name": "CEIDA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00921600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesse Alexandra Puello, LAC
• Quality Care Physical Therapy & Rehab Center
• Ngan Quan
• Quantum Healthcare, LLC
• Karen Sue Quigley, PH.D.
• Donald J Racek, D.C.
• Shaleeza Rafiuddin
• Vijay Ragavan, M.D
• Stephanie Rajaram, LCSW
• Jacqueline Carol Raji

• Physician Assistant in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.