Provider Demographics
NPI:1669333571
Name:ACEVEDO-CIRCELLI, ISABELLA A (NP)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:A
Last Name:ACEVEDO-CIRCELLI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ISABELLA
Other - Middle Name:ANGEL
Other - Last Name:ACEVEDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:295 W GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:295 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1805
Practice Address - Country:US
Practice Address - Phone:201-252-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY358310363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily