Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801090253 Individual Practitioner Female Practitioner

Vanessa Disla , PA

Physician Assistant - Surgical • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Vanessa Disla, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Hackensack, NJ. Practice services are available at 30 PROSPECT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave

Hackensack, NJ 076011915

Telephone 5519964778
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
25 Specialists

Practicing in Hackensack, NJ (562 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-25
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License NJ 25MP00184500

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA9105002

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jesus Alvarez-Perez , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1003009473

Doctor of Medicine (M.D.)

Dr. Jennifer Northridge , MD

Pediatrics - Adolescent Medicine

NPI 1003132853

Doctor of Medicine (M.D.)

Dr. Analysa Gallegos , MD

Emergency Medicine

NPI 1003219155

Doctor of Medicine (M.D.)

Dr. Paarth Raj , DO

Emergency Medicine

NPI 1003224197

Doctor of Osteopathic Medicine (D.O.)

Lauren Carucci , NP-C

Nurse Practitioner - Adult Health

NPI 1003262064

Nurse Practitioner (Certified)

Somdatta Gupta

Anesthesiology

NPI 1003293986

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 25, 2020

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519964778)

📍
Updated Business Mailing Address March 25, 2020

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519964778)

NPI Profile Active June 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2013

Registered at 399 9TH ST N, SUITE 300, NAPLES, FL 341025820 (Tel: 2396490440)

📍
Updated Business Mailing Address June 03, 2013

Registered at 399 9TH ST N, SUITE 300, NAPLES, FL 341025820 (Tel: 2396490440)

👤
Provider Name / Credentials Updated June 03, 2013

Recorded as VANESSA DISLA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2013

Physician Assistant (License #PA9105002 in FL)

🟢
Initial NPI Registration & Enumeration June 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801090253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2007
Last Update: March 25, 2020
Sole Proprietor: No

Mailing Address

30 Prospect Ave

Hackensack, NJ 076011915

Phone: 5519964778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.