Provider Demographics
NPI:1902660970
Name:INCALCATERRA, PAULA P (APRN)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:P
Last Name:INCALCATERRA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 ROUTE 31 STE 503
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5777
Mailing Address - Country:US
Mailing Address - Phone:833-377-8474
Mailing Address - Fax:
Practice Address - Street 1:349 ROUTE 31 STE 503
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5777
Practice Address - Country:US
Practice Address - Phone:833-377-8474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01216300363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty