Provider Demographics
NPI:1033257241
Name:ALMACEN, ARIEL G (APNC)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:G
Last Name:ALMACEN
Suffix:
Gender:M
Credentials:APNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1036
Mailing Address - Country:US
Mailing Address - Phone:973-723-5664
Mailing Address - Fax:
Practice Address - Street 1:15 LAKE ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1036
Practice Address - Country:US
Practice Address - Phone:973-723-5664
Practice Address - Fax:973-844-9659
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ001003002084P0800X, 363LF0000X, 363LP0808X
NYF4028082084P0800X
NYF334705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ142990XVAMedicare UPIN