Individual provider Active NPI

Alice Beatrice Wilson-Horton

  • Gerontology Nurse Practitioner
  • Horsham, PA
National Provider Identifier
1013634146
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2021039269 Issued in NJ
Practice address
401 Horsham Rd
Horsham, PA 19044-2013
Phone
(267) 422-8240
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2021039269 NJ Primary

Addresses

Primary practice location

401 Horsham Rd
Horsham, PA 19044-2013

Mailing address

1330 Sioux Rd
North Brunswick, NJ 08902-1614
Phone (908) 307-4489

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erik@libertyucc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412003303 NJ Practitioner - Nurse Practitioner 0042685612 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021039269NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GPS Physician Group of New Jersey, PC CurrentSince Aug 6, 2023 Accepting new patients
Alignmed Medical Group NJ, PC CurrentSince Dec 3, 2024 Accepting new patients
Geps Physician Group of New Jersey PC Gerontology CurrentSince Aug 6, 2023 Accepting new patients

Locations

115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-3620

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

249 High St
Newton, NJ 07860
Phone (855) 699-6312

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

Interoperability endpoints

  • Direct secure messaging: alice.wilson-horton.1@22854.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1013634146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SIOUX RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021614",
            "telephone_number": "908-307-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HORSHAM RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442013",
            "telephone_number": "267-422-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-HORTON",
        "first_name": "ALICE",
        "middle_name": "BEATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "2021039269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erik@libertyucc.com",
            "affiliation": "N",
            "address_1": "401 Horsham Rd",
            "city": "Horsham",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190442013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

Verify at the official NPI Registry.