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

Vanessa Disla, PA

Individual provider Surgical Physician Assistant · NPI 1801090253

Vanessa Disla, PA is a Surgical Physician Assistant in Hackensack, New Jersey. Licensed in Florida and New Jersey. Registered with an NPI since 2007.

Licensed in
FL, NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-4778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00184500 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9105002 (FL)

Record details

NPI number1801090253
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESMarch 25, 2020
Certification dateMarch 25, 2020
Mailing address30 Prospect Ave, Hackensack, NJ 07601-1915

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