Provider Demographics
NPI:1750795597
Name:MAPA, ANGELINE Z (APN)
Entity type:Individual
Prefix:MRS
First Name:ANGELINE
Middle Name:Z
Last Name:MAPA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:ANGELINE
Other - Middle Name:Z
Other - Last Name:MACALALAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:202 ELMER ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2128
Practice Address - Country:US
Practice Address - Phone:908-228-3675
Practice Address - Fax:908-789-3122
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00499600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily