Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelice Grasso

Individual provider Surgical Physician Assistant · NPI 1407471493

Angelice Grasso is a Physician Assistant in Garfield, New Jersey. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020

Practice location Address checks out

3 Holly Ln
Garfield, NJ 07026-3565
Phone: (201) 835-8589
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1407471493
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020
Mailing address3 Holly Ln, Garfield, NJ 07026-3565

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare