Provider Demographics
NPI:1619337276
Name:MASIAS, ERIKA G (APN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:G
Last Name:MASIAS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:MASIAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:66 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6319
Mailing Address - Country:US
Mailing Address - Phone:862-377-5966
Mailing Address - Fax:
Practice Address - Street 1:360 ESSEX ST STE 303
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-8566
Practice Address - Country:US
Practice Address - Phone:551-996-8100
Practice Address - Fax:551-996-4140
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00619400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily