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VANESSA DISLA PA
NPI 1801090253
Physician Assistant - Surgical in Hackensack, NJ

Active since June 11, 2007
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-4778 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2020, Mar 17, 2020 (2 updates tracked since 2020).

About Vanessa Disla Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANESSA DISLA PA (NPI 1801090253) is an individual surgical provider in Hackensack, New Jersey, licensed in New Jersey (25MP00184500) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1801090253
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameVANESSA DISLACredential: PA
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 996-4778
Phone(551) 996-4778
Sole ProprietorNo
Enumeration DateJune 11, 2007
Last NPPES UpdateMarch 25, 20202 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
✔ NPI 1801090253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in NJ · 25MP00184500✔ Licensed in FL · PA9105002
30 PROSPECT AVE, Hackensack, NJ 07601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
JOSE DESCHAMPS
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanessa Disla's NPI number?

The NPI number for Vanessa Disla is 1801090253. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Vanessa Disla located?

Vanessa Disla practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-4778.

What is Vanessa Disla's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Vanessa Disla was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.