Active NPI 1336100486 Individual Practitioner Female Practitioner

Nilla Defazio , PA-C

Physician Assistant • Montclair, NJ

Professional Overview & Biography Verified Profile Summary

Nilla Defazio, PA-C is a registered healthcare professional specializing in Physician Assistant in Montclair, NJ. Practice services are available at 1 BAY AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Bay Ave

Montclair, NJ 070424837

Telephone 9734296695

Associated Practice Facility / Clinic

🏢 Evergreen Emergency Solutions, Pc Facility NPI 1558349274

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Montclair, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.8 Yrs

State Avg: 10.1 Yrs

Regional Practice Density

17 Specialists

Practicing in Montclair, NJ (3413 Statewide)

Telehealth Adoption Rate

5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	13	12	$1123.62	$107.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	16	16	$1092.13	$108.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	18	18	$1056.00	$110.79
99283 Emergency department visit with low level of medical decision making	11	11	$709.91	$65.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	28	27	$1056.00	$113.45
99283 Emergency department visit with low level of medical decision making	15	15	$708.00	$66.76
99285 Emergency department visit for life threatening or functioning severity	15	15	$1577.00	$165.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	18	17	$1056.00	$104.55
99285 Emergency department visit for life threatening or functioning severity	18	18	$1577.00	$161.44
99283 Emergency department visit with low level of medical decision making	17	17	$708.00	$60.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	34	31	$676.00	$55.84
99284 Emergency department visit with moderate level of medical decision making	28	28	$1009.57	$105.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	40	40	$992.80	$104.77
99283 Emergency department visit with low level of medical decision making	30	30	$650.33	$55.51
99285 Emergency department visit for life threatening or functioning severity	18	18	$1460.83	$154.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	28	28	$930.00	$105.53
99283 Emergency department visit with low level of medical decision making	25	24	$617.08	$55.69
99285 Emergency department visit for life threatening or functioning severity	21	21	$1390.48	$151.38

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00034900

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Michael Stein , PA

Physician Assistant

NPI 1104892603

Physician Assistant

Dr. Osama Moshet , MD

Pediatrics

NPI 1225021975

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1 BAY AVE, MONTCLAIR, NJ 070424837 (Tel: 9734296695)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2828 CROASDAILE DR, DURHAM, NC 277052505 (Tel: 9194251564)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as NILLA DEFAZIO, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #25MP00034900 in NJ)

🟢

Initial NPI Registration & Enumeration March 29, 2006

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: 1336100486

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 29, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2828 Croasdaile Dr

Durham, NC 277052505

Phone: 9194251564

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.