Individual provider Active NPI

Daphnee Paul

  • Physician Assistant
  • Newark, NJ
National Provider Identifier
1780568980
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00938100 Issued in NJ
Practice address
41 Wilson Avenue
#2D
Newark, NJ 07105-3612
Phone
(973) 589-7337
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00938100 NJ Primary

Addresses

Primary practice location

41 Wilson Avenue
#2D
Newark, NJ 07105-3612

Mailing address

13-15 Olean Ave Apt 1B
Jersey City, NJ 07304-1328
Phone (201) 830-7842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251113000694 NY Practitioner - Physician Assistant 5597256958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

374 Stockholm St
Brooklyn, NY 11237-4006

6024 Ridge Ave
Suite 116 356
Philadelphia, PA 19128-1601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034429NYMDGeneral Practice Dentistry
25MP00938100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mahi Pediatrics P.C. CurrentSince Aug 3, 2025 Accepting new patients
Wyckoff Emergency Medicine Services, P.C. CurrentSince Oct 1, 2025 Accepting new patients
High Class Home Health Care PastSince Aug 3, 2025 Accepting new patients

Locations

374 Stockholm St
#137N
Brooklyn, NY 11237
Phone (718) 963-6485

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: daphnee@mpp-nj.direct.office.nextgen.com

Organizations & group practices 3

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": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1780568980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-15 OLEAN AVE APT 1B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041328",
            "telephone_number": "201-830-7842",
            "fax_number": "201-830-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WILSON AVENUE",
            "address_2": "#2D",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053612",
            "telephone_number": "973-589-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "DAPHNEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00938100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.