Provider Demographics
NPI:1659860757
Name:MOSCARELLA, DANIELA A (DNP, APN, CPNP-PC)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:A
Last Name:MOSCARELLA
Suffix:
Gender:F
Credentials:DNP, APN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 MOHAWK LN
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-4615
Mailing Address - Country:US
Mailing Address - Phone:732-735-5806
Mailing Address - Fax:
Practice Address - Street 1:300 CANDLEWOOD CMNS
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2170
Practice Address - Country:US
Practice Address - Phone:732-370-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00773700363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics