Look up the most recent NPI and PECOS records

Daniel Faldraga

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3600 Route 66 Ste 400, Neptune, NJ 07753-2645

PECOS Enrollment

Based on the most recent information from CMS, provider Daniel Faldraga is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1275318743
Provider Type
Individual
Full Name
Faldraga, Daniel
Title
Mr.
Credential
MMS, PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
8/31/2023
Last Updated
10/18/2023

Contact Information

Practice Location

3600 Route 66 Ste 400, Neptune, NJ 07753-2645

(732) 363-6655

Unlisted Fax

Mailing Location

707 N Broad St Apt 3g, Elizabeth, NJ 07208-2317

(908) 414-8208

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00812800 New Jersey

Daniel Faldraga

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hecht, Emma Rose

Caudill, Cheryl E

Vitolo, Jenna

Edwards, Deanna

Van Nest, Justin

Catalano, Michelle

Schneider, Krista Kelly

Costanzo, Samantha Leigh

Inman, Jennifer Rose

Tsetsakos, Panagiota