Individual provider Active NPI

Priscillia Angie Assale, NP

  • Primary Care Nurse Practitioner
  • South Orange, NJ
National Provider Identifier
1902689383
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ14891500 Issued in NJ
Practice address
20 Valley St Ste 320
South Orange, NJ 07079-2881
Phone
(973) 313-1113
Fax
(973) 313-1191
NPI assigned
Aug 17, 2023
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ14891500 NJ Primary

Addresses

Primary practice location

20 Valley St Ste 320
South Orange, NJ 07079-2881

Mailing address

20 Valley St Ste 320
South Orange, NJ 07079-2881
Phone (973) 313-1113

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goldson Medical Associates, LLC CurrentSince May 4, 2025 Accepting new patients
Vitality NP Group LLC PastSince Aug 3, 2023 Accepting new patients

Locations

20 Valley St
Ste 320
South Orange, NJ 07079
Phone (973) 313-1113

Organizations & group practices 2

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1902689383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VALLEY ST STE 320",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792881",
            "telephone_number": "973-313-1113",
            "fax_number": "973-313-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VALLEY ST STE 320",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792881",
            "telephone_number": "973-313-1113",
            "fax_number": "973-313-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSALE",
        "first_name": "PRISCILLIA",
        "middle_name": "ANGIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ14891500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.