Individual provider Active NPI

Ana Corina Morales, RN CNOR CRNFA

  • Surgical Physician Assistant
  • Bloomfield, NJ
National Provider Identifier
1992965784
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
26NO10460400 Issued in NJ
Practice address
57 Park PL
Bloomfield
Bloomfield, NJ 07003-3526
Phone
(973) 744-6079
Fax
(973) 744-6079
NPI assigned
Jun 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 26NO10460400 NJ Primary

Addresses

Primary practice location

57 Park PL
Bloomfield
Bloomfield, NJ 07003-3526

Mailing address

57 Park PL
Bloomfield
Bloomfield, NJ 07003-3526
Phone (973) 744-6079

Other identifiers 1

IdentifierTypeStateIssuer
1992965784MedicaidNJ

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO10460400NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Assistants R.N. Services of New Jersey Past 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": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1992965784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PARK PL",
            "address_2": "BLOOMFIELD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033526",
            "telephone_number": "973-744-6079",
            "fax_number": "973-744-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PARK PL",
            "address_2": "BLOOMFIELD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033526",
            "telephone_number": "973-744-6079",
            "fax_number": "973-744-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ANA",
        "middle_name": "CORINA",
        "name_prefix": "Miss",
        "credential": "RN CNOR CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "26NO10460400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992965784",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.