Individual provider Active NPI

Irena Dalida, RNFA

  • Registered Nurse First Assistant
  • Somerville, NJ
National Provider Identifier
1528359742
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
26NR09983400 Issued in NJ
Practice address
10 Catalina Dr
Somerville, NJ 08876-1706
Phone
(908) 526-0678
Fax
(908) 526-0678
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 26NR09983400 NJ Primary

Addresses

Primary practice location

10 Catalina Dr
Somerville, NJ 08876-1706

Mailing address

10 Catalina Dr
Somerville, NJ 08876-1706
Phone (908) 883-0812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NR09983400NJMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
I'D First Assist, LLC Registered Nurse First Assistant CurrentSince Oct 9, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1528359742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CATALINA DR",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761706",
            "telephone_number": "908-883-0812",
            "fax_number": "908-526-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CATALINA DR",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761706",
            "telephone_number": "908-526-0678",
            "fax_number": "908-526-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALIDA",
        "first_name": "IRENA",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NR09983400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.