IndividualActive
Anthony Pacione, PA-C
NPI 1861742579 · Medical Physician Assistant · Ridgewood, NJ
Provider details
- NPI number
- 1861742579
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 25MP00427900 (NJ)
Practice location
223 N Van Dien Ave
Ridgewood, NJ 07450-2736
Phone: (201) 447-8000
Fax: (201) 447-8019
Mailing address
1 Sears Dr Ste 306
Paramus, NJ 07652-3510
Registry dates
- Enumerated
- 2012-09-11
- Last updated
- 2022-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.