Provider Demographics
NPI:1780463588
Name:SASSI, VALERIA JANE
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:JANE
Last Name:SASSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3427 N DELSEA DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-1692
Mailing Address - Country:US
Mailing Address - Phone:856-484-2259
Mailing Address - Fax:
Practice Address - Street 1:3427 N DELSEA DR UNIT B
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-1692
Practice Address - Country:US
Practice Address - Phone:856-484-2259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJPONJD026769Medicaid