Annette K Allegra, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Randolph, NJ
NPI 1053759696 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1053759696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 26NJ00440800 (NJ)
- Practice address
- 447 Route 10 E Ste 2
Randolph, NJ 07869-2132 - Phone
- (862) 781-0082
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00440800 | NJ | Yes |
Addresses
Primary practice location
447 Route 10 E Ste 2
Randolph, NJ 07869-2132
Mailing address
447 Route 10 E Ste 2
Randolph, NJ 07869-2132
Phone (862) 781-0082
Other providers in Randolph, NJ
- Emily J. Adams
- Kathleen Adams
- Advocare, LLC
- Stephen Aiello
- All Be Healthy LLC
- Donald T Allegra
- Allegro School, Inc.
- Rebecca Aminov
- Matthew Richard Amos
- Danielle Anderson
All providers in Randolph, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.