Active NPI
Alice Beatrice Wilson-Horton
- Gerontology Nurse Practitioner
- Horsham, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2021039269
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021039269 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GPS Physician Group of New Jersey, PC | Current | Accepting new patients | |
| Alignmed Medical Group NJ, PC | Current | Accepting new patients | |
| Geps Physician Group of New Jersey PC | Gerontology | Current | 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
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Kennett Square, PA
- NPI 1871512038
Gerontology, NJ
-
- Geriatric Medicine (Internal Medicine) Physician
- Fair Lawn, NJ
- NPI 1245061605
-
- Geriatric Medicine (Internal Medicine) Physician
- Voorhees, NJ
- NPI 1548776008
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.