Individual
SUSAN ELIZABETH NEGGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 PROSPECT AVE STE 404, HACKENSACK, NJ 07601-1941
(212) 305-0660
Mailing address
12 RUTGERS TER, FAIR LAWN, NJ 07410-3302
(551) 795-0031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00842900
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00843900
NJ
Other
Enumeration date
01/27/2022
Last updated
05/04/2026
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