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

Mr. Misael Dimatulac, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1043790165

Mr. Misael Dimatulac, NURSEPRACTITIONER is a Family Nurse Practitioner in Hazlet, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

43 Maple Dr
Hazlet, NJ 07730-1333
Phone: (646) 525-9621
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 343384 (NY)

Record details

NPI number1043790165
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedAugust 17, 2018
Last updated in NPPESAugust 17, 2018

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